Innovative Senior Care Home Health Of Portland Llc

NPI 1194980615 - Home Health - 251E00000X

NPI Details
NPI 1194980615
Enumeration Date 07/24/2008
Last Updated 02/24/2014
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name BRYAN BRYAN
Position EVP
Phone (503) 582-9246
Fax (503) 685-9047
Practice Location
8855 SW HOLLY LN
STE 123
WILSONVILLE OR, 97070-8854, US
Phone (503) 582-9246
Fax (503) 685-9047
Business Location
111 WESTWOOD PL
STE 400
BRENTWOOD TN, 37027-5021, US
Phone (615) 221-2250
Fax (615) 221-2280
Toxanomy
Taxonomy Code 251E00000X
License State
License Number
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According to our database, Innovative Senior Care Home Health Of Portland Llc NPI is 1194980615, taxonomy code is 251E00000X Innovative Senior Care Home Health Of Portland Llc physically located at 8855 Sw Holly Ln, Wilsonville OR, 97070-8854. NPI Number 1033115704 has the healthcare provider type.

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1194980615 NPI number is provided on an as is basis without warranty of any kind. 1194980615 is maintained by the National Plan & Provider Enumeration System. The contents of Innovative Senior Care Home Health Of Portland Llc are for informational purposes only.