Organization
JORO ADULT FOSTER CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEBI DAKEBO GENEMO RN (OWNER)
(813) 842-8699
Entity
Organization
Contact information
Practice address
3737 NE 135TH AVE, PORTLAND, OR 97230-2722
(503) 208-3799
Mailing address
3737 NE 135TH AVE, PORTLAND, OR 97230-2722
(503) 208-3799
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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