Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Provider: Kellyville RCF

Provider Information


Kellyville RCF

12221 SE KELLY STREET
Portland, OR 97236

Provider ID
50R454
Administrator
Maricel Asa
Phone
(503) 954-2561
Email
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.