Jefferson Manor Residential Care, Llc in Dallas - Alzheimer Center (dementia Center)
Jefferson Manor Residential Care, Llc - NPI 1669633707
Jefferson Manor Residential Care, Llc is a Alzheimer Center (dementia Center) in Dallas, Oregon. Jefferson Manor Residential Care, Llc practices all healthcare services and medical treatments related to Alzheimer Center (dementia Center). The NPI Number for Jefferson Manor Residential Care, Llc is 1669633707. The last update date is 2008-06-20.
Jefferson Manor Residential Care, Llc's current location address is 664 Se Jefferson St, Dallas, Oregon. You can contact this provider via phone number 5036238104 and fax number 5036230772. The mailing address for Jefferson Manor Residential Care, Llc is 664 Se Jefferson St, Dallas, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jefferson Manor Residential Care, Llc |
|---|---|
| Address | 664 Se Jefferson St, Dallas, Oregon |
| Phone Number | 5036238104 |
| Fax Number | 5036230772 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Moss Marie Elizabeth |
| Telephone Number | 5035882725 |
NPI Number Detail
| NPI Number | 1669633707 |
|---|---|
| Provider Enumeration Date | 2008-06-20 |
| Last Updated Date | 2008-06-20 |
Provider Mailing Address Detail
| Address | 664 Se Jefferson St |
|---|---|
| City | Dallas |
| State | Oregon (OR) |
| Post Code | 973382024 |
| Phone Number | 5036238104 |
| Fax Number | 5036230772 |
Provider's Primary Taxonomy Detail
| Speciality | Alzheimer Center (dementia Center) |
|---|---|
| Taxonomy | 311500000X |
| Licence No | 1087658107 |
|
Definition: A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 515448 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jefferson Manor Residential Care, Llc by the Centers for Medicare & Medicaid Services?
The Jefferson Manor Residential Care, Llc has been issued the NPI (National Provider Identifier) 1669633707 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jefferson Manor Residential Care, Llc is located?
The Jefferson Manor Residential Care, Llc is situated at the following address: 664 Se Jefferson St, Dallas, OR, 973382024.
What is Jefferson Manor Residential Care, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jefferson Manor Residential Care, Llc is Alzheimer Center (dementia Center), and the taxonomy code that classifies this field of practice is 311500000X.
When did the Jefferson Manor Residential Care, Llc receive its 1669633707?
The Jefferson Manor Residential Care, Llc was issued its 1669633707 on 2008-06-20, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Jefferson Manor Residential Care, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jefferson Manor Residential Care, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-20.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN