Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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Print Provider: Nina Clark

Provider Information

Nina Clark

3195 DELTA WATERS ROAD
Medford, OR 97504

Provider ID
525056
Administrator
Nina Clark
Phone
(541) 773-1167
Email
ninamariew@yahoo.com

Additional Provider Details

ID
525056
Status
Open
Type
Adult Foster Home
Classification
3
Licensed beds
5
Accepts Medicaid
Yes
Memory Care
No
Owner
Nina Webb Anderson

3195 DELTA WATERS ROAD
Medford, 97504

(541) 773-1167
Owner since

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