Organization
CARE CENTER (MENLO PARK) INC.
Active
Other names
Prestige Care & Rehabilitation - Menlo Park
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J VISLOCKY (EX VP OF FINANCE / PARTNER)
(360) 816-8295
Entity
Organization
Contact information
Practice address
745 NE 122ND AVE, PORTLAND, OR 97230-2001
(503) 252-0241
Mailing address
7700 NE PARKWAY DR, SUITE 300, VANCOUVER, WA 98662-6654
(360) 735-7155
(360) 735-9416
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500648667
—
OR
Enumeration date
08/27/2012
Last updated
11/02/2012
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