# WEST COLUMBIA SENIOR LIVING LLC

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

## Provider details

- **NPI number:** 1356563498
- **Authorized official:** JON M HARDER (MANAGER)
- **Authorized official phone:** (503) 375-9016

## Contact information

- **Practice address:** 190 MC SWAIN DRIVE, WEST COLOMBIA, SC 29169-4825
- **Practice address phone:** (803) 936-0062
- **Mailing address:** PO BOX 3006, SALEM, OR 97308-0006
- **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 |

## Other

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