Organization
FORTUNATE 24-HOUR RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TADESSE MELKA MOJO (CEO)
(971) 224-9404
Entity
Organization
Contact information
Practice address
7980 SW GREENHOUSE LN, PORTLAND, OR 97225-3868
(971) 224-9404
Mailing address
7980 SW GREENHOUSE LN, PORTLAND, OR 97225-3868
(971) 224-9404
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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