Aging and People with Disabilities
Safety, Oversight and Quality
Print Provider: Kellyville RCF
Provider Information
12221 SE KELLY STREET
Portland, OR 97236
- Provider ID
- 50R454
- Administrator
- Maricel Asa
- Phone
- (503) 954-2561
- maricel@kellyvillercfpdx.com
Additional Provider Details
- ID
- 50R454
- Status
- Open
- Type
- Residential Care Facility
- Licensed beds
- 50
- Accepts Medicaid
- Yes
- Memory Care
- No
- Owner
-
Ysa Group Operating Company, LLC
13695 SE ELLEN DRIVE
Clackamas, OR 97015
- Owner since
- 12/12/2017
If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.