Organization
PORTHAVEN SNF HEALTHCARE LLC
Active
Other names
Porthaven Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(801) 447-9829
Entity
Organization
Contact information
Practice address
5330 NE PRESCOTT ST, PORTLAND, OR 97218-2158
(503) 288-6585
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
(801) 447-9829
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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