Organization
MONMOUTH RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL NGARUIYA (LICENSEE)
(971) 381-0765
Entity
Organization
Contact information
Practice address
373 ATWATER ST S, MONMOUTH, OR 97361-9705
(971) 381-0765
(503) 837-0854
Mailing address
373 ATWATER ST S, MONMOUTH, OR 97361-9705
(503) 837-0854
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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