Aging and People with Disabilities
Safety, Oversight and Quality
Print Provider: Countryside Village Lodge
Provider Information
Countryside Village Lodge
1718 KELLENBECK AVE
Grants Pass, OR 97527
- Provider ID
- 50R475
- Administrator
- Angela Geving
- Phone
- (541) 956-0999
- mca@countrysidevillageretire.com
Additional Provider Details
- ID
- 50R475
- Status
- Open
- Type
- Residential Care Facility
- Licensed beds
- 28
- Accepts Medicaid
- Yes
- Memory Care
- Yes
- Owner
-
Lynn-Ann Development, LLC
1970 W HARVARD
Roseburg, OR 97470
(541) 119-7779
- Owner since
- 6/26/2019
If you have questions about this provider or its inspection and compliance history, please contact the provider at the phone number listed above.