Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Provider: Countryside Village

Provider Information

Countryside Village

1700 KELLENBECK AVE
Grants Pass, OR 97527

Provider ID
70A318
Administrator
SADAF SIALA
Phone
(541) 956-0999
Email
exd@countrysidevillageretire.com

Additional Provider Details

ID
70A318
Status
Open
Type
Assisted Living Facility
Licensed beds
22
Accepts Medicaid
Yes
Memory Care
No
Owner
Lynn-Ann Development, LLC

1970 W HARVARD
Roseburg, OR 97470

(541) 119-7779
Owner since
9/2/2011

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