| Emo Residential Care Home,llc | |
|
2780 Ne Roberts Ave Gresham OR 97030-2769 | |
| (503) 847-5970 | |
| Not Available |
| Full Name | Emo Residential Care Home,llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2780 Ne Roberts Ave, Gresham, Oregon |
| Authorized Official Name and Position | Gurmu Mebrat Yadeto (ADMINISTRATOR) |
| Authorized Official Contact | 5038475970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emo Residential Care Home,llc 2780 Ne Roberts Ave Gresham OR 97030-2769 Ph: (503) 847-5970 | Emo Residential Care Home,llc 2780 Ne Roberts Ave Gresham OR 97030-2769 Ph: (503) 847-5970 |
| NPI Number | 1114851078 |
|---|---|
| Provider Enumeration Date | 06/08/2026 |
| Last Update Date | 06/08/2026 |
| Certification Date | 06/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114851078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
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