# ROSE VILLA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rose Villa Senior LIving
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679819411
- **Authorized official:** ERIN CORNELL LNHA (DIRECTOR OF HEALTH SERVICES)
- **Authorized official phone:** (503) 652-3282

## Contact information

- **Practice address:** 13505 SE RIVER RD, PORTLAND, OR 97222-8038
- **Practice address phone:** (503) 654-3171
- **Mailing address:** 13505 SE RIVER RD, PORTLAND, OR 97222-8038
- **Mailing address phone:** (503) 654-3171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 1352498888 | OR | Yes |

## Other

- **Enumeration date:** 12/26/2012
- **Last updated:** 12/26/2012