# PORTLAND NURSING & REHAB CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Highland Manor Nursing & Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740319664
- **Authorized official:** MR. DAVID RODMAN (ASST. SECRETARY)
- **Authorized official phone:** (407) 975-3011

## Contact information

- **Practice address:** 215 HIGHLAND CIRCLE DR, PORTLAND, TN 37148-4918
- **Practice address phone:** (615) 325-9263
- **Practice address fax:** (615) 325-5776
- **Mailing address:** 602 COURTLAND ST, SUITE 200, ORLANDO, FL 32804-1360
- **Mailing address phone:** (407) 975-3000
- **Mailing address fax:** (407) 975-3090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0000000270 | TN | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 04/06/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 044-5306 | — | TN |
| 05 | — | 1454187 | — | TN |
| 05 | — | 744-0308 | — | TN |