| NPI | 1972305431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVARAJ LAMICHHANE Business Owner/Provider 503-980-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |