Organization
PORTLAND NURSING & REHAB CENTER, INC.
Active
Other names
Highland Manor Nursing & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RODMAN (ASST. SECRETARY)
(407) 975-3011
Entity
Organization
Contact information
Practice address
215 HIGHLAND CIRCLE DR, PORTLAND, TN 37148-4918
(615) 325-9263
(615) 325-5776
Mailing address
602 COURTLAND ST, SUITE 200, ORLANDO, FL 32804-1360
(407) 975-3000
(407) 975-3090
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000270
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044-5306
—
TN
05
—
1454187
—
TN
05
—
744-0308
—
TN
Enumeration date
03/05/2007
Last updated
04/06/2009
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