Organization
JASON CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL KINYANJUI (DIRECTOR)
(978) 406-1540
Entity
Organization
Contact information
Practice address
9337 SE RAYMOND ST, PORTLAND, OR 97266-2747
(978) 406-1540
Mailing address
9337 SE RAYMOND ST, PORTLAND, OR 97266-2747
(978) 406-1540
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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