| NPI | 1043337843 |
|---|---|
| Doing Business As | WILDFLOWER LODGE |
| Entity Type | Organization |
| Authorized Contact | JON M HARDER Manager 503-485-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OR 1621801256) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: OR 1419410824) |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2008-07-23 |