Individual provider · Type 1 NPI
Mirela Gavojdea
Adult Care Home Facility · Tigard, OR
NPI number
1477009140
Active
Practice location
12625 SW Grant Ave.
Tigard, OR 97223
Mailing address
12625 SW Grant Ave
Tigard, OR 97223-5141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 511807 (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.
About NPI 1477009140
Mirela Gavojdea's National Provider Identifier is 1477009140, issued on Aug 31, 2016. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Tigard, OR. The record was last updated on Aug 31, 2016.