| NPI | 1952937112 |
|---|---|
| Doing Business As | SILVER LAKE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | SAMUEL BONGIOVANNI President 503-833-2814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |