| NPI | 1700604105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA LANDIS CORWIN RN Administrator 503-717-3480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-03 |