Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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Print Provider: Donica Juny Rilyn Custodio

Provider Information


Donica Juny Rilyn Custodio

5655 Southeast Powell Valley Road
Gresham, OR 97080

Provider ID
0000000569
Administrator
Donica Juny Rilyn Custodio
Phone
(971) 292-2524

Additional Provider Details


ID
0000000569
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.