Organization
MT TABOR SNF OPERATIONS LLC
Active
Other names
Mt. Tabor Health & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LIEBERMAN (VICE PRESIDENT OF PROCUREMENT)
(646) 275-4510
Entity
Organization
Contact information
Practice address
6040 SE BELMONT ST, PORTLAND, OR 97215-1974
(503) 231-7166
Mailing address
6040 SE BELMONT ST, PORTLAND, OR 97215-1974
(503) 231-7166
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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