Organization
ALPHA GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSEPH MEKONNEN (MANAGER)
(202) 867-5579
Entity
Organization
Contact information
Practice address
15515 SE FRANCIS ST # 97236, PORTLAND, OR 97236-2256
(202) 867-5579
Mailing address
15515 SE FRANCIS ST, PORTLAND, OR 97236-2256
(202) 867-5579
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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