Organization
BIG RED, LLC
Active
Other names
Big Red, LLC, Rackleff Place, Brookside Place
Organization subpart
No
Provider details
NPI number
Authorized official
PETER VERDIECK (EVP FINANCE AND ADMINISTRATION)
(503) 255-4647
Entity
Organization
Contact information
Practice address
15900 SE 82ND DR, CLACKAMAS, OR 97015-9502
(503) 255-4647
Mailing address
15900 SE 82ND DR, CLACKAMAS, OR 97015-9502
(503) 255-4647
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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