Provider Demographics
NPI:1871935510
Name:FC RANGER OPS SILVER CREEK (OR), LLC
Entity type:Organization
Organization Name:FC RANGER OPS SILVER CREEK (OR), LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:K
Authorized Official - Last Name:FIRTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-754-5586
Mailing Address - Street 1:703 EVERGREEN RD
Mailing Address - Street 2:
Mailing Address - City:WOODBURN
Mailing Address - State:OR
Mailing Address - Zip Code:97071-2909
Mailing Address - Country:US
Mailing Address - Phone:503-981-4142
Mailing Address - Fax:503-982-0172
Practice Address - Street 1:703 EVERGREEN RD
Practice Address - Street 2:
Practice Address - City:WOODBURN
Practice Address - State:OR
Practice Address - Zip Code:97071-2909
Practice Address - Country:US
Practice Address - Phone:503-981-4142
Practice Address - Fax:503-982-0172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility