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Organization
JACKSON HOLE SENIOR LIVING, LLC
Active
Organization
JACKSON HOLE SENIOR LIVING, LLC
Active
Other names
River Rock Lodge Assisted Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON M HARDER (MANAGER)
(503) 375-9016
Entity
Organization
Contact information
Practice address
3000 W BIG TRAIL DR, JACKSON HOLE, WY 83001-9138
(307) 734-0500
Mailing address
3723 FAIRVIEW INDUSTRIAL DR SE, SALEM, OR 97302-1177
(503) 375-9016
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
08-035
WY
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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