institution
Peaceful Care House
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Happy Valley, Oregon
NPI 1033340096

Peaceful Care House is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Happy Valley, OR. Peaceful Care House practices in Happy Valley, OR. The NPI Number for Peaceful Care House is 1033340096 and holds a License No. 0312-513850-0803-P (Oregon).

The current practice location address for Peaceful Care House is 10254 Se Isaac Dr, Happy Valley, OR and can be reached out via phone at 503-760-4262 and via fax at 503-762-2186. You can also correspond with Peaceful Care House through the mailing address at 10254 SE ISAAC DR, HAPPY VALLEY, OR - 97086-7159 (mailing address contact number: 503-760-4262).

Location: 10254 Se Isaac Dr, Happy Valley, OR, 97086-7159
institution
Provider Profile Details
NPI Number
1033340096
Provider Name
Peaceful Care House
Credential
Provider Entity Type
Organization
Address
10254 Se Isaac Dr, Happy Valley, OR, 97086-7159
Phone Number
503-760-4262
Fax Number
503-762-2186
Provider Enumeration Date
08/06/2009
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
513850 05 OR
institution
Provider Business Practice Location Address Details
Address
10254 Se Isaac Dr
City
State
Zip
97086-7159
Phone Number
503-760-4262
Fax Number
503-762-2186
person
Provider Business Mailing Address Details
Address
10254 Se Isaac Dr
City
State
Zip
97086-7159
Phone Number
503-760-4262
Fax Number
503-762-2186
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
03125138500803P (Oregon)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
0312-513850-0803-P (Oregon)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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