Portland Assisted Living Facility
NPI #1326433681 in Coral Springs, Florida
Provider Information
- NPI Number
- 1326433681
- Entity Type
- Organization
- Organization Name
- Portland Assisted Living Facility
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PORTLAND HEALTHCARE INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 3, 2015
- Last Updated
- Apr 3, 2015
Practice Location
- Address
- 4664 NW 58TH TER
- City
- Coral Springs
- State
- Florida
- ZIP Code
- 33067-2115
- Phone
- (954) 603-6954
Authorized Official
- Name
- MR. RANDY S MOODIE, PHARM.D
- Title
- ADMINISTRATOR
- Phone
- (561) 870-8546
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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