Organization
ELITE CARE GRANT LLC
Active
Other names
DBA Fanno Creek by Elite Care
Organization subpart
No
Provider details
NPI number
Authorized official
RAEANN VOORHIES RN (CEO)
(503) 348-8587
Entity
Organization
Contact information
Practice address
12353 SW GRANT AVE, TIGARD, OR 97223
(503) 583-7937
Mailing address
4444 SE OATFIELD HILL ROAD, MILWAUKIE, OR 97267
(503) 653-5656
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529927
—
OR
Enumeration date
03/25/2025
Last updated
03/25/2025
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