Provider Demographics
NPI:1467894188
Name:FC RANGER OPS JUNCTION CITY (OR), LLC
Entity Type:Organization
Organization Name:FC RANGER OPS JUNCTION CITY (OR), LLC
Other - Org Name:JUNCTION CITY RETIREMENT & ASSISTED LIVING RESIDENCES
Other - Org Type:Doing Business As
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 1:500 E 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97448-1557
Mailing Address - Country:US
Mailing Address - Phone:541-995-0278
Mailing Address - Fax:541-998-3147
Practice Address - Street 1:500 E 6TH AVE
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:OR
Practice Address - Zip Code:97448-1557
Practice Address - Country:US
Practice Address - Phone:541-995-0278
Practice Address - Fax:541-998-3147
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 Licenses
StateLicense IDTaxonomies
OR310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility