Organization
NOVELLA HAVEN LLC RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSEPH YIGZAW MEKONNEN (DIRECTOR)
(202) 867-5579
Entity
Organization
Contact information
Practice address
7330 SW TRILLIUM AVE, BEAVERTON, OR 97008-5750
(202) 867-5579
Mailing address
7330 SW TRILLIUM AVE, BEAVERTON, OR 97008-5750
(202) 867-5579
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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