# OXFORD, JACKSON, RIVER ROCK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** River Rock Assisted Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518269653
- **Authorized official:** MR. JASON HARNISCH (CONTROLLER)
- **Authorized official phone:** (402) 753-6101

## Contact information

- **Practice address:** 3000 W BIG TRAIL DR, JACKSON, WY 83001-9138
- **Practice address phone:** (307) 734-0500
- **Practice address fax:** (307) 732-7275
- **Mailing address:** 3000 W BIG TRAIL DR, JACKSON, WY 83001-9138
- **Mailing address phone:** (307) 734-0500
- **Mailing address fax:** (307) 732-4275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 10336 | WY | Yes |

## Other

- **Enumeration date:** 11/22/2010
- **Last updated:** 01/14/2013