Organization
BREAD OF LIFE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON PATTON (EXECUTIVE DIRECTOR)
(503) 707-2562
Entity
Organization
Contact information
Practice address
3010 E DOGWOOD AVE, NEWBERG, OR 97132-1413
(503) 707-2562
Mailing address
3010 E DOGWOOD AVE, NEWBERG, OR 97132-1413
(503) 707-2562
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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