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NPI Profile for INDEPENCARE LLC in CLACKAMAS, OR.
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Lodging |
177F00000X | |||
Case Management |
251B00000X | |||
Community Health Worker |
172V00000X | |||
Home Delivered Meals |
332U00000X | 87 | All Other Suppliers | |
Meals |
174200000X | |||
Medical Foods Supplier |
335G00000X |
| NPI # | 1366266611 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/13/2024 | |
| Last updated | 01/12/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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INDEPENCARE LLC