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Prairie Manor Valid NPI

Organization · Skilled Nursing Facility · Wilsonville, OR

NPI
1164844866
Type
Organization (Type 2)
Primary specialty
Skilled Nursing Facility
Specialty group
Nursing & Custodial Care Facilities
Taxonomy code
314000000X
License number
057001429 (IL)
Enumerated
2014-01-15
Last updated
2014-01-15
Practice location
25117 Sw Parkway Ave, Suite D
Wilsonville, OR 97070-9697
(708) 754-7601

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