Individual provider · Type 1 NPI
Michelle Dichoso Ballesteros, FOSTER CARE PROVIDER
Nursing Home Administrator · Mcminnville, OR
NPI number
1295573723
Active
Practice location
631 SW Taft St
Mcminnville, OR 97128-6627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Home Administrator Primary | 376G00000X | 623110 (OR) |
Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.
About NPI 1295573723
Michelle Dichoso Ballesteros, FOSTER CARE PROVIDER's National Provider Identifier is 1295573723, issued on Jul 18, 2024. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in Mcminnville, OR. The record was last updated on Nov 15, 2024.