Organization
CHRISTINA ELLIS DBA: PARADISE ADULT FOSTER CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA MARIE ELLIS-LITTLE (OWNER/OPERATOR)
(503) 760-8052
Entity
Organization
Contact information
Practice address
1356 SE 172ND AVE, PORTLAND, OR 97233-4702
(503) 760-8052
(503) 760-8052
Mailing address
1356 SE 172ND AVE, PORTLAND, OR 97233-4702
(503) 760-8052
(503) 760-8052
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
10714
OR
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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