NPI 1316563042
Medford Assisted Living LLC
Practice location
- Address
- 1018 Royal CT, Medford, OR 97504-6175
- Phone
- (541) 773-2771
- Fax
- (541) 776-5227
Authorised official
- Name
- Todd Monroe Woollard
- Title
- Managing Member
- Phone
- (541) 601-6070
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1316563042
- Entity type
- Organization
- NPI issued
- 18 Jun 2020
- Record last updated
- 18 Jun 2020
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.