# RIVERSIDE AT BELFAIR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548488059
- **Authorized official:** JON HARDER (CEO PRESIDENT)
- **Authorized official phone:** (503) 485-8697

## Contact information

- **Practice address:** 60 OAK FOREST RD, BLUFFTON, SC 29910-5010
- **Practice address phone:** (843) 815-2338
- **Practice address fax:** (503) 485-1279
- **Mailing address:** PO BOX 465, SALEM, OR 97308-0465
- **Mailing address phone:** (503) 485-8697
- **Mailing address fax:** (503) 485-1279

## Taxonomy

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

## Other

- **Enumeration date:** 04/22/2007
- **Last updated:** 08/22/2020