ORCHARD PARK NPI 1528280658

NPI Information

ORCHARD PARK is an assisted living facility in Clearlake, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ORCHARD PARK NPI is 1528280658. The provider is registered as an organization entity type.

The provider's business location address is:

M14789 BURNS VALLEY ROAD
CLEARLAKE, CA
ZIP 95422
Phone: (707) 995-1900
Fax: (503) 485-1279

The provider's authorized official is Jon Harder .
The authorized official title is President and has the following contact phone number (503) 485-8697.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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