Organization
ASSISTED LIVING CONCEPTS INC
Active
Other names
Portland House
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER A LEVONOWICH (VICE PRESIDENT CONTROLLER)
(262) 257-8888
Entity
Organization
Contact information
Practice address
3808 VENICE ROAD, SANDUSKY, OH 44870
(419) 624-1090
(419) 624-1117
Mailing address
W140 N8981 LILLY ROAD, LEGAL DEPARTMENT, MENOMONEE FALLS, WI 53051-2325
(262) 257-8888
(262) 251-7833
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
5515
OH
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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