NPI | 1629008651 |
---|---|
Doing Business As | HARBOR CARE REEDWOOD |
Entity Type | Organization |
Authorized Contact | MARCUS LESTER CEO 503-232-5767 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OR 800091) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: OR 800091) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2007-12-28 |