Organization
CARE CENTER REEDWOOD INC
Active
Other names
Prestige Care & Rehabilitation of Reedwood
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY J VISLOCKY (EX VP OF FINANCE/PARTNER)
(360) 735-7155
Entity
Organization
Contact information
Practice address
3540 SE FRANCIS ST, PORTLAND, OR 97202-3350
(503) 232-5767
(503) 234-4162
Mailing address
7700 NE PARKWAY DR, STE 300, VANCOUVER, WA 98662-6648
(360) 735-7155
(360) 735-9416
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800091
—
OR
Enumeration date
10/12/2011
Last updated
06/22/2012
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