Prosper Care Homes LLC

NPI #1538848221 in Portland, Oregon

Provider Information

NPI Number: 1538848221
Entity Type: Organization
Organization Name: Prosper Care Homes LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 12, 2023
Last Updated: Jul 12, 2023

Practice Location

Address: 17211 NE MULTNOMAH DR
City: Portland
State: Oregon
ZIP Code: 97230-6331
Phone: (503) 384-2080

Authorized Official

Name: LYDIA NGANGA
Title: EXECUTIVE DIRECTOR
Phone: (469) 226-7960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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