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STAYTON SW ASSISTED LIVING LLC NPI 1689791485


NPI Information

NPI: 1689791485
Provider Name: STAYTON SW ASSISTED LIVING LLC

Doing Business As: LAKESIDE ASSISTED LIVING COMMUNITY

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
2201 3RD AVENUE
STAYTON, OR
ZIP 97383
Phone: (503) 769-3200
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STAYTON SW ASSISTED LIVING LLC is an assisted living facility in Stayton, 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. STAYTON SW ASSISTED LIVING LLC NPI is 1689791485. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeside Assisted Living Community.

The provider's business location address is:

2201 3RD AVENUE
STAYTON, OR
ZIP 97383-388
Phone: (503) 769-3200

The provider's authorized official is Jon M Harder .
The authorized official title is Manager and has the following contact phone number (503) 485-4600.

The enumeration date for this NPI number is 3/25/2007 and was last updated on 7/14/2008.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility1769313990OREGONNo
2310400000XAssisted Living FacilityOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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