NPI 1538848221

Prosper Care Homes LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Portland, OR

Practice location

Address: 17211 NE Multnomah Dr, Portland, OR 97230-6331
Phone: (503) 384-2080
Fax: (503) 384-2080

Authorised official

Name: Lydia Nganga
Title: Executive Director
Phone: (469) 226-7960

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1538848221
Entity type: Organization
NPI issued: 12 Jul 2023
Record last updated: 12 Jul 2023

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.