Pacific Living Centers South, Llc

LBN: Pacific Living Centers South, Llc
Pacific Living Centers South, Llc is an health care organization with primary practice located at 1635 Kellenbeck Ave , Grants Pass OR 97527-4247. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. Pacific Living Centers South, Llc can be contacted via phone (541) 474-6493, or through Mason, Carl via phone (503) 826-5190.

Contact Information

Primary practice address
1635 Kellenbeck Ave Grants Pass OR 97527-4247
Phone: (541) 474-6493
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mason, Carl
Phone: (503) 826-5190

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X

Profile Details

NPI number 1700530987
LBN Legal business name Pacific Living Centers South, Llc
DBA Doing business as
Authorized official Mason, Carl
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2022
Last updated Feb 7th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700530987 NPPES
Oregon Other 5482307390 DHS APD
Oregon Other 7715251304 DHS APD
Oregon Other 3246694719 DHS APD
Oregon Other 8850499803 DHS APD

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