REGENCY @ CORVALLIS LLC NPI 1821232687

NPI Information

REGENCY @ CORVALLIS, LLC is an assisted living facility in Corvallis, OR. 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. REGENCY @ CORVALLIS, LLC NPI is 1821232687. The provider is registered as an organization entity type.
The provider Is Doing Business As Regency Park Place @ Corvallis.

The provider's business location address is:

2595 NE JACK LONDON ST
CORVALLIS, OR
ZIP 97330-915
Phone: (541) 754-5808

The provider's authorized official is Doug Devore .
The authorized official title is Cfo and has the following contact phone number (425) 392-4066.

The CLIA number assigned to this NPI record is 38D2194707 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2009 and was last updated on 4/23/2009.

Taxonomy Codes

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Other Identifiers

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