Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Provider: Elmer Grubb

Provider Information


Elmer Grubb

3749 EDGEWOOD DR
North Bend, OR 97459

Provider ID
511906
Administrator
GRUBB ELMER L
Phone
(541) 751-8296
Email
dbluedeer@yahoo.com

Additional Provider Details


ID
511906
Status
Open
Type
Adult Foster Home
Classification
0
Licensed beds
1
Accepts Medicaid
Yes
Memory Care
No
Owner
Elmer Grubb

3749 EDGEWOOD DR
North Bend, 97459


(541) 751-8296
Owner since
12/22/2009

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