| NPI | 1629265939 |
|---|---|
| Doing Business As | PORTLAND HOUSE |
| Entity Type | Organization |
| Authorized Contact | WALTER A LEVONOWICH Vice President Controller 262-257-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OH 5515) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |