Aging and People with Disabilities
Safety, Oversight and Quality
Print Provider: Kanittha Caballero
Provider Information
Kanittha Caballero
14725 Southeast Rhine Street
Portland, OR 97236
- Provider ID
- 0000000516
- Administrator
- Kanittha Caballero
- Phone
- (503) 477-9153
- kanithai12@hotmail.com
Additional Provider Details
- ID
- 0000000516
- 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.