DASTU I AHMAT

GRESHAM, OR
NPI1346707296
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility Adult Care Home
(Licence: OR  11146)
Enumeration Date2019-02-27
Last Update Date2019-02-27
Business Address
DASTU I AHMAT
55 NW 23RD ST
GRESHAM, OR 97030-2640
Phone number: 503-984-6216
Mailing Address
DASTU I AHMAT
55 NW 23RD ST
GRESHAM, OR 97030-2640
Phone number: 503-984-6216