| NPI | 1326433681 |
|---|---|
| Doing Business As | PORTLAND ALF |
| Entity Type | Organization |
| Authorized Contact | RANDY S MOODIE Administrator 561-870-8546 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12536) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |