| NPI | 1073649307 |
|---|---|
| Other Name | PORTLAND HOUSE |
| Entity Type | Organization |
| Authorized Contact | ANDREA RENGSTORF RN Treasurer 559-322-9305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: CA 040000360) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |