Aeternum Care LLC

NPI #1770392870 in Hillsboro, Oregon

Provider Information

NPI Number: 1770392870
Entity Type: Organization
Organization Name: Aeternum Care LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jan 3, 2025
Last Updated: Jan 3, 2025

Practice Location

Address: 613 SE 32ND AVE
City: Hillsboro
State: Oregon
ZIP Code: 97123-7311
Phone: (458) 262-4514

Authorized Official

Name: WILSON PAUL KISAMBIRA
Title: DIRECTOR
Phone: (781) 309-8976

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Meals	174200000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Psychiatric Residential Treatment Facility	323P00000X
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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