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Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Print Provider: Octavia Nightingale

Provider Information

Octavia Nightingale

4190 COLLINS WAY
Lake Oswego, OR 97035

Provider ID: 513068
Administrator: Octavia Nightingale
Phone: (503) 957-5074
Email: octavia@luckyshome.com

Additional Provider Details

ID: 513068
Status: Open
Type: Adult Foster Home
Classification: 3
Licensed beds: 4
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.

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