Organization
LATITUDE HEALTHCARE MANAGEMENT INC.
Active
Other names
Alderwood Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
L. CHARLES BLOOM (OWNER)
(503) 781-3250
Entity
Organization
Contact information
Practice address
131 ALDER ST, CENTRAL POINT, OR 97502-2200
(541) 664-3757
Mailing address
185 N LOTUS BEACH DR, PORTLAND, OR 97217-8021
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528975
—
OR
Enumeration date
08/11/2021
Last updated
08/11/2021
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