Organization
CARE CENTER (MILWAUKIE) INC.
Active
Parent organization
PRESTIGE CARE, INC
Other names
Prestige Post-Acute and Rehabilitation Center - Milwaukie
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESTIGE CARE, INC
Authorized official
GREGORY VISLOCKY (EX VP OF FINANCE / PARTNER)
(360) 735-7155
Entity
Organization
Contact information
Practice address
12045 SE STANLEY AVE, MILWAUKIE, OR 97222-2938
(503) 659-2323
Mailing address
12045 SE STANLEY AVE, MILWAUKIE, OR 97222-2938
(503) 659-2323
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500695377
—
OR
Enumeration date
09/02/2015
Last updated
12/23/2015
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