| NPI | 1659474948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL FOGG President 971-206-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-10-22 |