Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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Print Provider: Divine Kwizera

Provider Information


Divine Kwizera

4773 FLINTLOCK COURT NE
Salem, OR 97305

Provider ID
5615350677
Administrator
Divine Kwizera
Phone
(503) 390-1880
Email
divinityhomes2@gmail.com

Additional Provider Details


ID
5615350677
Status
Open
Type
Adult Foster Home
Classification
2
Licensed beds
5
Accepts Medicaid
Yes
Memory Care
No
Owner
Divine Kwizera

4773 FLINTLOCK COURT NE
Salem, OR 97305


(503) 390-1880
Owner since
4/21/2023

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