Organization
PG HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER NDEGWA (OWNER/PRESIDENT)
(774) 262-7975
Entity
Organization
Contact information
Practice address
10941 SE BUSH ST, UNIT 1, PORTLAND, OR 97266-2268
(774) 262-7975
Mailing address
10941 SE BUSH ST, UNIT 1, PORTLAND, OR 97266-2268
(774) 262-7975
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
04/26/2022
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