Organization
JAATIMA ADULT FOSTER HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAMA MARONG (LICENSEE)
(978) 594-3949
Entity
Organization
Contact information
Practice address
2454 LYON ST SE, ALBANY, OR 97322-4803
(978) 594-3949
(541) 791-7670
Mailing address
2454 LYON ST SE, ALBANY, OR 97322-4803
(978) 594-3949
(541) 791-7670
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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