Organization
PARADISE ADULT FOSTER CARE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA MARIE ELLIS (OWNER)
(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
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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