Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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Print Provider: Feyruza A Indissa And Jamalo H Adem

Provider Information


Feyruza A Indissa And Jamalo H Adem

10905 SW 78TH AVE
Tigard, OR 97223

Provider ID
2628932651
Administrator
Feyruza Indissa
Phone
(503) 746-7278
Email
waliifafh@gmail.com

Additional Provider Details


ID
2628932651
Status
Open
Type
Adult Foster Home
Classification
3
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.