Aging and People with Disabilities
Safety, Oversight and Quality
Print Provider: Lisa Black
Provider Information
Lisa Black
498 TIPTON RD
Roseburg, OR 97471
- Provider ID
- 508916
- Administrator
- BLACK LISA
- Phone
- (541) 440-9804
- lisablack1965@hotmail.com
Additional Provider Details
- ID
- 508916
- 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.