Organization
PROSPER CARE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA NGANGA (EXECUTIVE DIRECTOR)
(469) 226-7960
Entity
Organization
Contact information
Practice address
17211 NE MULTNOMAH DR, PORTLAND, OR 97230-6331
(503) 384-2080
(503) 384-2080
Mailing address
17211 NE MULTNOMAH DR, PORTLAND, OR 97230-6331
(503) 384-2080
(503) 384-2080
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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