Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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Print Provider: Fetenech Lamano Chage

Provider Information


Fetenech Lamano Chage

2524 Northeast 122nd Avenue
Portland, OR 97230

Provider ID
529150
Administrator
FDDM ADULT CARE HOME LLC. .
Phone
(503) 520-0105
Email
fatu_2007@yahoo.com

Additional Provider Details


ID
529150
Status
Open
Type
Adult Foster Home
Classification
2
Licensed beds
5
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.