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Organization
ST GROUP HOME CARE LLC
Active
Organization
ST GROUP HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIIA POPOVA (MANAGER)
(917) 972-9854
Entity
Organization
Contact information
Practice address
6020 SW ARCTIC DR, BEAVERTON, OR 97005-9404
(503) 641-1575
Mailing address
6020 SW ARCTIC DR, BEAVERTON, OR 97005-9404
(503) 641-1575
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
06/10/2024
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