Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Provider: Wanchalermporn Scriven Jesse Scriven

Provider Information


Wanchalermporn Scriven Jesse Scriven

1860 FAIRHILL DR
Roseburg, OR 97471

Provider ID
6638066187
Phone
(541) 391-5055
Email
jesseascriven@yahoo.com

Additional Provider Details


ID
6638066187
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.