# SANDDOLLAR VILLAGE ASSISTED LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Palm Meadows Village Assisted Living Community
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356563480
- **Authorized official:** JON M HARDER (MANAGER)
- **Authorized official phone:** (503) 375-9016

## Contact information

- **Practice address:** 80 MAIN ST, HILTON HEAD, SC 29926-2900
- **Practice address phone:** (843) 689-9143
- **Mailing address:** PO BOX 3006, SALEM, OR 97302-0006
- **Mailing address phone:** (503) 375-9016
- **Mailing address fax:** (503) 485-1297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | CRC1276 | SC | Yes |
| 310400000X | Assisted Living Facility | — | NULL | — |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 07/14/2008