| NPI | 1932510682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI ANN BRADLEY Owner/Administrator 503-381-9194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: OR 15-2171) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |