# FLORENCE SENIOR LIVING LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Laurel Gardens
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134341282
- **Authorized official:** JON M HARDER (MANAGER)
- **Authorized official phone:** (503) 375-9016

## Contact information

- **Practice address:** 1938 MOUNTAIN LAUREL CT, FLORENCE, SC 29505-6052
- **Practice address phone:** (843) 665-7978
- **Mailing address:** PO BOX 3006, SALEM, OR 97302-0006
- **Mailing address phone:** (503) 375-9016
- **Mailing address fax:** (503) 485-1279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | — |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 07/15/2008
