Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Provider: Kowan Hacker

Provider Information


Kowan Hacker

407 Merrill Street
Coos Bay, OR 97420

Provider ID
0000000602
Phone
(541) 252-8126

Additional Provider Details


ID
0000000602
Status
Open
Type
Adult Foster Home
Classification
0
Licensed beds
1
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.