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Organization

PRESTIGIOUS CORPORATION

Active
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Organization

PRESTIGIOUS CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BEKELE WAYU WARIYO (CEO/OWNER)
(240) 204-7185
Entity
Organization

Contact information

Practice address
556 SE COOPER ST, DALLAS, OR 97338-1946
(503) 751-1109
Mailing address
556 SE COOPER ST, DALLAS, OR 97338-1946
(503) 751-1109

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
08/10/2026
Last updated
08/10/2026
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