Organization
SUNSHINE AHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIVIA COZMA (ADULT FOSTER HOME PROVIDER)
(503) 761-1460
Entity
Organization
Contact information
Practice address
2217 SE 156TH AVE, PORTLAND, OR 97233
(503) 761-1460
(503) 761-5779
Mailing address
2217 SE 156TH AVE, PORTLAND, OR 97233-3447
(503) 761-1460
(503) 761-5779
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2394
OR
Other
Enumeration date
08/10/2017
Last updated
07/21/2022
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