NPI 1124233622

Sandy Assisted Living LLC

Organisation Point of Service Salem, OR

Practice location

Address: 3200 State Street Suite 200, Salem, OR 97301
Phone: (503) 566-5715
Fax: (503) 588-3531
Mailing address: 39495 Cascadia Village Dr, Sandy, OR 97055-6384

Authorised official

Name: Kelley D Hamilton
Title: Ceo-Pres of Manager
Phone: (503) 566-5715

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

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Registry record

NPI: 1124233622
Entity type: Organization
NPI issued: 10 May 2007
Record last updated: 4 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.