NPI 1083356133
New Life Home LLC
Practice location
- Address
- 1070 NE Country Club Ave, Gresham, OR 97030-6016
- Phone
- (503) 491-9333
Authorised official
- Name
- Lucy Machua
- Title
- Director
- Phone
- (314) 372-7821
Registered specialties
Nurse's Aide
Primary
Registry record
- NPI
- 1083356133
- Entity type
- Organization
- NPI issued
- 10 Apr 2022
- Record last updated
- 10 Apr 2022
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.