Organization
CORE CARE RESIDENTIAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILSON PAUL KISAMBIRA (MANAGER)
(781) 309-8976
Entity
Organization
Contact information
Practice address
9310 SE DUKE ST, PORTLAND, OR 97266-5259
(458) 262-4514
Mailing address
9310 SE DUKE ST, PORTLAND, OR 97266-5259
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
07/07/2025
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