Jefferson Manor Residential Care, Llc

  • 1669633707 NPI Number
  • |
  • Actived: 15 years ago
  • |
Jefferson Manor Residential Care, Llc is a health care provider based in Dallas, OR. The NPI Number is 1669633707 and it has been active since 15 years ago. The specialty is Alzheimer Center (Dementia Center), providing comprehensive mental health services to individuals, families, and communities. If you are looking for Alzheimer Center (Dementia Center) services, Jefferson Manor Residential Care, Llc is an excellent option. We are here to help you get the care you need.

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Overview of Jefferson Manor Residential Care, Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 06/20/2008
  • Last updated: 06/20/2008

Primary Scrop of Practice

  • Taxonomy Code: 311500000X
  • Specialty: Alzheimer Center (Dementia Center)
  • License Number: 1087658107
  • License State: OR

Provider Mailing Address

  • Address: 200 Hawthorne Ave Se Ste A140
    Salem, OR 97301
  • Phone: 503-588-2725
  • Fax: 503-588-8653

Provider Practice Location

  • Address: 664 Se Jefferson St
    Dallas, OR 97338
  • Phone: 503-623-8104
  • Fax: 503-623-0772

Authorized Official

  • Name: Elizabeth Marie Moss
  • Position/Title: Director Of Risk Management
  • Telephone Number: 503-588-2725

Scope of Practice

  • Taxonomy Code: 311500000X
  • Specialty: Alzheimer Center (Dementia Center)
  • License Number: 1087658107
  • License State: OR
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 515448
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OR
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jefferson Manor Residential Care, Llc?
  • A: The npi number for Jefferson Manor Residential Care, Llc is 1669633707.
  • Q: What are Jefferson Manor Residential Care, Llc's specialties?
  • A: Jefferson Manor Residential Care, Llc's specialties are Alzheimer Center (Dementia Center) and different specialities.
  • Q: Where is Jefferson Manor Residential Care, Llc business practice location?
  • A: Jefferson Manor Residential Care, Llc business practice location is 664 Se Jefferson St, Dallas, OR 97338.
  • Q: How to contact Jefferson Manor Residential Care, Llc?
  • A: You can contact Jefferson Manor Residential Care, Llc via 503-623-8104.
  • Q: What is the authorized official for Jefferson Manor Residential Care, Llc?
  • A: The authorized office name is Elizabeth Marie Moss with position/title is Director Of Risk Management and you can reach the authorized official via phone number 5035882725.
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