Organization
BIS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BISRAT BERHE HABITE REGISTERED NURSE (OPERATOR/OWNER)
(605) 496-4836
Entity
Organization
Contact information
Practice address
8642 SE JENNINGS AVE, MILWAUKIE, OR 97267-5457
(605) 496-4836
(503) 344-6379
Mailing address
8642 SE JENNINGS AVE, MILWAUKIE, OR 97267-5457
(605) 496-4836
(503) 344-6379
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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