NPI | 1598752420 |
---|---|
Former Legal Business Name | D.B.A. GATEWAY CARE AND RETIREMENT CENTER |
Entity Type | Organization |
Authorized Contact | JOHN RICHARD HARDING Administrator 503-252-2461 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OR 800847) |
Enumeration Date | 2005-10-05 |
Last Update Date | 2020-08-22 |