Organization
FMG SHORE DRIVE OREGON LLC
Active
Other names
Meadow Park Health & Specialty Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C. KEATING (SECRETARY AGENT)
(414) 908-8058
Entity
Organization
Contact information
Practice address
75 SHORE DR, SAINT HELENS, OR 97051-1125
(503) 397-2713
(503) 397-2669
Mailing address
5001 WEST LEMON STREET, C/O FOCUS MANAGEMENT GROUP, TAMPA, FL 33609-1103
(813) 281-0062
(813) 281-0063
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/16/2015
Last updated
11/07/2017
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