# PICKERINGTON ASSISTED LIVING OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amber Park Senior Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063261519
- **Authorized official:** MS. TERRI BAKER (LICENSING COORDINATOR)
- **Authorized official phone:** (564) 203-3620

## Contact information

- **Practice address:** 401 HILL RD N, PICKERINGTON, OH 43147-1511
- **Practice address phone:** (217) 384-0100
- **Practice address fax:** (217) 384-2963
- **Mailing address:** 5101 NE 82ND AVE STE 200, VANCOUVER, WA 98662-6343
- **Mailing address phone:** (360) 254-9442
- **Mailing address fax:** (360) 254-1770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2024
- **Last updated:** 05/16/2024