Fmg Shore Drive Oregon LLC
NPI #1225427032 in Saint Helens, Oregon
Provider Information
- NPI Number
- 1225427032
- Entity Type
- Organization
- Organization Name
- Fmg Shore Drive Oregon LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 16, 2015
- Last Updated
- Nov 7, 2017
Practice Location
- Address
- 75 SHORE DR
- City
- Saint Helens
- State
- Oregon
- ZIP Code
- 97051-1125
- Phone
- (503) 397-2713
Authorized Official
- Name
- DAVID C. KEATING
- Title
- SECRETARY AGENT
- Phone
- (414) 908-8058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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