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Shangri-la Corporation
Mental Illness Community Based Residential Treatment Facility in Jefferson, Oregon
NPI 1366796823

Shangri-la Corporation is a Mental Illness Community Based Residential Treatment Facility based in Salem, OR. Shangri-la Corporation practices in Jefferson, OR. The NPI Number for Shangri-la Corporation is 1366796823 and holds a License No. (Oregon).

The current practice location address for Shangri-la Corporation is 2614 Adams Ln Se, Jefferson, OR and can be reached out via phone at 541-327-7982 and via fax at 541-327-7986.

Location: 2614 Adams Ln Se, Jefferson, OR, 97302-1335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366796823
Provider Name
Shangri-la Corporation
Credential
Provider Entity Type
Organization
Address
2614 Adams Ln Se, Jefferson, OR, 97302-1335
Phone Number
541-327-7982
Fax Number
541-327-7986
Provider Enumeration Date
11/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
515045 01 OR DMAP PROVIDER #
institution
Provider Business Practice Location Address Details
Address
2614 Adams Ln Se
City
Jefferson
State
Oregon
Zip
97352-9713
Phone Number
541-327-7982
Fax Number
541-327-7986
person
Provider Business Mailing Address Details
Address
2614 Adams Ln Se
City
Jefferson
State
Oregon
Zip
97352-9713
Phone Number
541-327-7982
Fax Number
541-327-7986
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
(Oregon)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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