Organization
PADUA ADULT FOSTER HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERVIN PADUA LPN (OWNER)
(503) 206-6564
Entity
Organization
Contact information
Practice address
1827 SE 76TH AVE, PORTLAND, OR 97215-3522
(503) 206-6564
(503) 206-6422
Mailing address
1827 SE 76TH AVE, PORTLAND, OR 97215-3522
(503) 206-6564
(503) 206-6422
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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