| NPI | 1043186810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZELALEM REJIE Resident Manager 971-416-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |