Organization
HELINAMARIAM RESIDENTIAL SERVICE LLC
Active
Organization
HELINAMARIAM RESIDENTIAL SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELINAMARIAM GEBEYHU GELAYE (EXCUTIVE DIRECTOR)
(815) 630-0782
Entity
Organization
Contact information
Practice address
14446 SE CREEKSIDE DR, MILWAUKIE, OR 97267-1865
(815) 630-0782
Mailing address
14446 SE CREEKSIDE DR, MILWAUKIE, OR 97267-1865
(815) 630-0782
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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