Individual provider · Type 1 NPI
Dastu I. Ahmat
Adult Care Home Facility · Gresham, OR
NPI number
1346707296
Active
Practice location
55 NW 23rd St
Gresham, OR 97030-2640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 11146 (OR) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Gresham
About NPI 1346707296
Dastu I. Ahmat's National Provider Identifier is 1346707296, issued on Feb 27, 2019. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Gresham, OR. The record was last updated on Feb 27, 2019.