NPI 1033340096

Peaceful Care House

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Happy Valley, OR

Practice location

Address: 10254 SE Isaac Dr, Happy Valley, OR 97086-7159
Phone: (503) 760-4262
Fax: (503) 762-2186

Authorised official

Name: Estera Bodale
Title: Care Provider
Phone: (503) 760-4262

Registered specialties (2)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 0312-513850-0803-P (OR)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Oregon →

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X Licence 03125138500803P (OR)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Oregon →

Registry record

NPI: 1033340096
Entity type: Organization
NPI issued: 6 Aug 2009
Record last updated: 6 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.