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Dastu I Ahmat
Adult Care Home Facility in Gresham, Oregon
NPI 1346707296

Dastu I Ahmat is an Adult Care Home Facility based in Gresham, OR and is specialized in Adult Care Home. Dastu I Ahmat practices in Gresham, OR. The NPI Number for Dastu I Ahmat is 1346707296 and holds a License No. 11146 (Oregon).

The current practice location address for Dastu I Ahmat is 55 Nw 23Rd St, Gresham, OR and can be reached out via phone at 503-984-6216.

Location: 55 Nw 23Rd St, Gresham, OR, 97030-2640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346707296
Provider Name
Dastu I Ahmat
Credential
Provider Entity Type
Individual
Gender
Female
Address
55 Nw 23Rd St, Gresham, OR, 97030-2640
Phone Number
503-984-6216
Fax Number
Provider Enumeration Date
02/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55 Nw 23Rd St
City
Gresham
State
Oregon
Zip
97030-2640
Phone Number
503-984-6216
Fax Number
person
Provider Business Mailing Address Details
Address
55 Nw 23Rd St
City
Gresham
State
Oregon
Zip
97030-2640
Phone Number
503-984-6216
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
11146 (Oregon)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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