Organization
DWELL CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA STASYUK (ADMINISTRATOR)
(971) 813-8449
Entity
Organization
Contact information
Practice address
1720 NW LOVEJOY ST STE 202, PORTLAND, OR 97209-2341
(503) 388-9682
Mailing address
1720 NW LOVEJOY ST STE 202, PORTLAND, OR 97209-2341
(503) 388-9682
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/10/2020
Last updated
06/24/2020
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