| NPI | 1235913385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD CLARK Owner 503-580-6378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-12-27 |