# PEACEFUL CARE HOUSE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033340096
- **Authorized official:** MISS ESTERA BODALE (CARE PROVIDER)
- **Authorized official phone:** (503) 760-4262

## Contact information

- **Practice address:** 10254 SE ISAAC DR, HAPPY VALLEY, OR 97086-7159
- **Practice address phone:** (503) 760-4262
- **Practice address fax:** (503) 762-2186
- **Mailing address:** 10254 SE ISAAC DR, HAPPY VALLEY, OR 97086-7159
- **Mailing address phone:** (503) 760-4262
- **Mailing address fax:** (503) 762-2186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 0312-513850-0803-P | OR | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 03125138500803P | OR | — |

## Other

- **Enumeration date:** 08/06/2009
- **Last updated:** 08/06/2009