Village Health Care I, LLC

NPI #1629224449 in Gresham, Oregon

Provider Information

NPI Number
1629224449
Entity Type
Organization
Organization Name
Village Health Care I, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 12, 2008
Last Updated
Aug 12, 2008

Practice Location

Address
3955 SE 182ND AVE
State
Oregon
ZIP Code
97030-5036
Phone
(503) 665-0183

Authorized Official

Name
MR. ALAN JESSE MARCOFF
Title
CONTROLLER
Phone
(503) 665-0183

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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