Individual provider · Type 1 NPI

Baseti Gelgelu

Adult Care Home Facility · Portland, OR

NPI number 1801403910 Active

Practice location

2055 SW 79th Ave
Portland, OR 97225-3805

Call (206) 306-3730 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X525603 (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 Portland

See all in Portland →

About NPI 1801403910

Baseti Gelgelu's National Provider Identifier is 1801403910, issued on Sep 23, 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 23, 2020.