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1710375878
FMG NORTHEAST WEIDLER STREET OREGON LLC
PORTLAND, OR
NPI
1710375878
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Entity Type
Organization
Authorized Contact
DAVID C. KEATING
Agent
414-908-8058
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2014-12-24
Last Update Date
2017-11-07
Business Address
FMG NORTHEAST WEIDLER STREET OREGON LLC
11325 NE WEIDLER ST
PORTLAND, OR 97220-1950
Phone number: 503-253-1181
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Mailing Address
FMG NORTHEAST WEIDLER STREET OREGON LLC
5001 WEST LEMON STREET C/O FOCUS MANAGEMENT GROUP
TAMPA, FL 33609-1103
Phone number: 813-281-0062
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