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Organization
ST. JUDE OPERATING COMPANY, LLC
Active
Organization
ST. JUDE OPERATING COMPANY, LLC
Active
Other names
Healthcare at Foster Creek
Organization subpart
No
Provider details
NPI number
Authorized official
MELCHOR BALAZS (OWNER)
(510) 526-2230
Entity
Organization
Contact information
Practice address
6003 SE 136TH AVE, PORTLAND, OR 97236-4567
(503) 761-1155
(503) 761-1142
Mailing address
6003 SE 136TH AVE, PORTLAND, OR 97236-4567
(503) 761-1155
(503) 761-1142
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1026862561
OR
Other
Enumeration date
04/19/2007
Last updated
12/15/2015
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