Organization
COMFORT58 CT RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAILEMARIAM KEBEDE (EXECUTIVE DIRECTOR)
(202) 717-3279
Entity
Organization
Contact information
Practice address
1728 SE 58TH CT, HILLSBORO, OR 97123-6267
(202) 717-3279
Mailing address
1728 SE 58TH CT, HILLSBORO, OR 97123-6267
(202) 717-3279
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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