Aging and People with Disabilities
Safety, Oversight and Quality
Print Provider: Ezekiel Kamonjo
Provider Information
Ezekiel Kamonjo
19707 SW SANDRA LANE
Beaverton, OR 97003
- Provider ID
- 8574260670
- Administrator
- Ezekiel Kamonjo
- Phone
- (503) 747-2166
- pacifichope19707@gmail.com
Additional Provider Details
- ID
- 8574260670
- Status
- Open
- Type
- Adult Foster Home
- Classification
- 3
- 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.