| NPI | 1194190942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUELA CHRISTINA MANN Director 503-936-2818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: OR 090000627RN) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2015-12-04 |