Organization
QUALITY ADULT HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA MARTHA NAZZIWA (LICENSEE)
(976) 395-6111
Entity
Organization
Contact information
Practice address
835 NE JOSEPHINE ST, HILLSBORO, OR 97124-1734
(971) 348-5108
(971) 864-6968
Mailing address
835 NE JOSEPHINE ST, HILLSBORO, OR 97124-1734
(971) 348-5108
(971) 864-6968
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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