Fm Pheasant Pointe, LLC
Assisted Living Facility in Molalla, OR. Organization (NPI-2).
NPI number1801412432
StatusActive
Last updated in NPPESJun 19, 2020
Details
- NPI
- 1801412432
- Entity type
- Organization (NPI-2)
- Legal business name
- Fm Pheasant Pointe, LLC
- Organization subpart
- No
- Enumeration date
- Jun 19, 2020
- Certification date
- Jun 19, 2020
- Last updated
- Jun 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Other names
- Pheasant Pointe Assisted Living And Memory Care (Doing Business As)
Practice location
835 E Main StMolalla, OR 97038-8117
Phone 503-829-3777
Mailing address
7420 Sw Bridgeport Rd Ste 105Portland, OR 97224-7790
Phone 503-597-4906
Authorized official
Gregory Roderick
Member
5034431818
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