Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Provider: Consolata Mogoa

Provider Information

Consolata Mogoa

3387 NE STONEBROOK LP
Bend, OR 97701

Provider ID
6734926822
Administrator
Consolata Mogoa
Phone
(541) 312-5765
Email
otungahouse@gmail.com

Additional Provider Details

ID
6734926822
Status
Open
Type
Adult Foster Home
Classification
3
Licensed beds
5
Accepts Medicaid
No
Memory Care
No
Owner
Mediatrix Khatiala

3387 NE STONEBROOK LP
Bend, 97701

(541) 312-5765
Owner since
12/7/2020

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