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Organization

GEISTLINGER ENTERPRISES INC

Active
Other names
Rose City Nursing Home
Organization subpart
No

Provider details

NPI number
Authorized official
ANITA GEISTLINGER (SEC TRES)
(503) 231-0276
Entity
Organization

Contact information

Practice address
34 NE 20TH, PORTLAND, OR 97232
(503) 231-0276
(503) 238-8678
Mailing address
PO BOX 1980, GRISHAM, OR 97030
(503) 231-0276
(503) 238-8678

Taxonomy

Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
1137257158
OR
310500000X
Mental Illness Intermediate Care Facility
Primary
115456
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38E157
FEDERAL PROVIDER NUMBER
OR
05
800060
OR
Enumeration date
06/23/2006
Last updated
07/03/2008
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