Organization
ROSE VILLA, INC.
Active
Other names
Rose Villa Senior LIving
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN CORNELL LNHA (DIRECTOR OF HEALTH SERVICES)
(503) 652-3282
Entity
Organization
Contact information
Practice address
13505 SE RIVER RD, PORTLAND, OR 97222-8038
(503) 654-3171
Mailing address
13505 SE RIVER RD, PORTLAND, OR 97222-8038
(503) 654-3171
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1352498888
OR
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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