Organization
WELLTOWER TENANT GROUP LLC
Active
Parent organization
WELLTOWER TENANT GROUP LLC
Other names
Lake View Terrace Memory CAre
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLTOWER TENANT GROUP LLC
Authorized official
CHRISTMAS J BROWN (RISK & COMPLIANCE)
(503) 597-4906
Entity
Organization
Contact information
Practice address
320 LAKE HAVASU AVE N, LAKE HAVASU CITY, AZ 86403-4701
(928) 855-8099
(928) 855-6666
Mailing address
7420 SW BRIDGEPORT RD STE 105, PORTLAND, OR 97224-7790
(503) 597-4906
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092050
—
AZ
Enumeration date
06/23/2021
Last updated
06/23/2021
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