Organization
GRACELEN TERRACE MANAGING COMPANY
Active
Other names
Harrison Manor Long-Term Care Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA MARIE PICKERING LNHA (PRESIDENT)
(503) 760-1727
Entity
Organization
Contact information
Practice address
6003 SE 136TH AVE, PORTLAND, OR 97236-4567
(503) 761-1155
(503) 761-1142
Mailing address
10948 SE BOISE ST, PORTLAND, OR 97266-2202
(503) 760-1727
(503) 762-2331
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1600506066
OR
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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