Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Provider: Peaulele Mativa Faatamala

Provider Information


Peaulele Mativa Faatamala

2342 ROBERTS RD
Medford, OR 97504

Provider ID
522161
Administrator
ATONIO MATIVA
Phone
(541) 245-9261
Email
mtvpeaulele25@yahoo.com

Additional Provider Details


ID
522161
Status
Open
Type
Adult Foster Home
Classification
3
Licensed beds
5
Accepts Medicaid
Yes
Memory Care
No
Owner
Mativa Peaulele Faatamala

2342 ROBERTS RD
Medford, OR 97504


(541) 245-9261
Owner since
8/12/2020

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