Aging and People with Disabilities
Safety, Oversight and Quality
Print Provider: Justin Vincent Jose Mencoza
Provider Information
Justin Vincent Jose Mencoza
14707 Southeast Mill Street
Portland, OR 97233
- Provider ID
- 0000000474
- Administrator
- Justin Vincent Mendoza
- Phone
- (503) 254-6424
- solemnspy@gmail.com
Additional Provider Details
- ID
- 0000000474
- Status
- Open
- Type
- Adult Foster Home
- Classification
- 2
- Licensed beds
- 5
- Accepts Medicaid
- Yes
- Memory Care
- No
If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.