NPI | 1689791485 |
---|---|
Doing Business As | LAKESIDE ASSISTED LIVING COMMUNITY |
Entity Type | Organization |
Authorized Contact | JON M HARDER Manager 503-485-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: OR 1769313990) |
Enumeration Date | 2007-03-25 |
Last Update Date | 2008-07-14 |