Princeton Village Assisted Living Residence

LBN: Princeton Village Assisted Living Residence Llc
Princeton Village Assisted Living Residence is an health care organization with primary practice located at 3220 State St Suite 200, Salem OR 97301-6872. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Princeton Village Assisted Living Residence Llc can be contacted via phone (503) 566-5715, or through Hamilton, Kelley D via phone (503) 566-5715.

Contact Information

Primary practice address
3220 State St Suite 200 Salem OR 97301-6872
Phone: (503) 566-5715
Fax: (503) 588-3531
Website:
Map and Directions
Authorized official contact:
Name: Hamilton, Kelley D
Phone: (503) 566-5715

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X Oregon

Profile Details

NPI number 1144433384
LBN Legal business name Princeton Village Assisted Living Residence Llc
DBA Doing business as Princeton Village Assisted Living Residence
Authorized official Hamilton, Kelley D
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2007
Last updated Oct 4th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144433384 NPPES
Oregon Other 642749-89 REGISTRY #

Popular Providers