Organization
LIFE CARE CENTER OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIEU DINH DPT (REGIONAL REHAB DIRECTOR)
(503) 473-9057
Entity
Organization
Contact information
Practice address
33801 1ST WAY S STE 301, FEDERAL WAY, WA 98003-4548
(253) 952-2184
Mailing address
3829 NE 35TH AVE, PORTLAND, OR 97212-1824
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
5120
OR
Other
Enumeration date
05/11/2007
Last updated
08/13/2008
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