Individual provider · Type 1 NPI

Demeti Gelgelu

Adult Care Home Facility · Portland, OR

NPI number 1801402946 Active

Practice location

2010 SW 79th Ave
Portland, OR 97225-3806

Call (971) 506-4073 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X3024537281 (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.

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About NPI 1801402946

Demeti Gelgelu's National Provider Identifier is 1801402946, issued on Sep 22, 2020. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Portland, OR. The record was last updated on Sep 22, 2020.