Organization · Type 2 NPI

Gracelen Terrace Managing Company

Nursing Facility/Intermediate Care Facility · Portland, OR

NPI number 1023313491 Active

Practice location

6003 SE 136th Ave
Portland, OR 97236-4567

Call (503) 761-1155 Map

Fax (503) 761-1142

Mailing address

10948 SE Boise St
Portland, OR 97266-2202

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X1600506066 (OR)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1023313491

Gracelen Terrace Managing Company's National Provider Identifier is 1023313491, issued on Jan 17, 2011. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Portland, OR. The record was last updated on Jan 17, 2011.