NPI 1629224449

Village Health Care I, LLC

Organisation Skilled Nursing Facility Gresham, OR

Practice location

Address: 3955 SE 182nd Ave, Gresham, OR 97030-5036
Phone: (503) 665-0183
Fax: (503) 666-6609

Authorised official

Name: Alan Jesse Marcoff
Title: Controller
Phone: (503) 665-0183

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 1124599635 (OR)

Other Skilled Nursing Facility providers in Oregon →

Registry record

NPI: 1629224449
Entity type: Organization
NPI issued: 12 Aug 2008
Record last updated: 12 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.