Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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Print Provider: John Mesa

Provider Information


John Mesa

5810 SW 176TH AVE
Beaverton, OR 97007

Provider ID
3193968824
Administrator
John Mesa
Phone
(503) 649-9039
Email
victorycarehomellc@gmail.com

Additional Provider Details


ID
3193968824
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.