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Organization

DJR 24HOURRS RESIDENTIAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERMIAS MULUGETA TEKLE SR. RN (EXECUTIVE DIRECTOR)
(336) 995-2670
Entity
Organization

Contact information

Practice address
12109 SE HIGH CREEK RD, 12109 SE HIGH CREEK RD, HAPPY VALLEY, OR 97086-4729
(336) 995-2670
Mailing address
12109 SE HIGH CREEK RD, HAPPY VALLEY, OR 97086-4729
(336) 995-2670
(336) 995-2670

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary

Other

Enumeration date
12/01/2025
Last updated
12/01/2025
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