# GREENSVILLE SENIOR LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hawthorne Inn at Greenville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386852523
- **Authorized official:** JON HARDER (MANANGER)
- **Authorized official phone:** (503) 485-4600

## Contact information

- **Practice address:** 20 HAWTHORNE PARK CT, GREENVILLE, SC 29615-3194
- **Practice address phone:** (864) 288-6775
- **Mailing address:** PO BOX 3006, SALEM, OR 97302-0006

## Taxonomy

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

## Other

- **Enumeration date:** 05/20/2007
- **Last updated:** 08/22/2020