Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Provider: Crystal Jensen

Provider Information

Crystal Jensen

1185 BALTIMORE AVENUE SE
Bandon, OR 97411

Provider ID
3581010746
Phone
(541) 329-2076
Email
huertacrystal4@gmail.com

Additional Provider Details

ID
3581010746
Status
Open
Type
Adult Foster Home
Classification
3
Licensed beds
5
Accepts Medicaid
Yes
Memory Care
No
Owner
Crystal Jensen

1185 BALTIMORE AVENUE SE
Bandon, OR 97411

(541) 329-2076
Owner since
6/1/2022

If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.