NPI | 1487975959 |
---|---|
Doing Business As | MIRABELLA PORTLAND |
Entity Type | Organization |
Authorized Contact | SHARON M MCCARTNEY Health Services Administrator 503-688-6400 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OR 1233196437) |
311Z00000X Custodial Care Facility | |
310400000X Assisted Living Facility (Licence: OR 1291022896) | |
311500000X Alzheimer Center (Dementia Center) (Licence: OR 1753514587) | |
Enumeration Date | 2010-06-18 |
Last Update Date | 2016-04-18 |