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Organization

ELENIH GROUP HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELENI HADISH (EXECUTIVE DIRECTOR)
(503) 997-3557
Entity
Organization

Contact information

Practice address
3189 SE 5TH ST, GRESHAM, OR 97080-1467
(503) 997-3557
Mailing address
3189 SE 5TH ST, GRESHAM, OR 97080-1467
(503) 997-3557

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
10/09/2025
Last updated
10/09/2025
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