# LIFE CARE CENTER OF AMERICA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699980771
- **Authorized official:** DIEU DINH DPT (REGIONAL REHAB DIRECTOR)
- **Authorized official phone:** (503) 473-9057

## Contact information

- **Practice address:** 33801 1ST WAY S STE 301, FEDERAL WAY, WA 98003-4548
- **Practice address phone:** (253) 952-2184
- **Mailing address:** 3829 NE 35TH AVE, PORTLAND, OR 97212-1824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 5120 | OR | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 08/13/2008