Organization
ROZAH GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROZA CHAKISSO (EXECUTIVE DIRECTOR)
(971) 719-7667
Entity
Organization
Contact information
Practice address
15532 SE CLINTON CT, PORTLAND, OR 97236-2125
(503) 764-9803
(503) 764-9807
Mailing address
15532 SE CLINTON CT, PORTLAND, OR 97236-2125
(503) 764-9803
(503) 764-9807
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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