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Organization
MARIETTA SENIOR LIVING LLC
Active
Organization
MARIETTA SENIOR LIVING LLC
Active
Other names
Spring Mountain Assisted Living and Memory Care Community
Organization subpart
No
Provider details
NPI number
Authorized official
JON M HARDER (MANAGER)
(503) 375-9016
Entity
Organization
Contact information
Practice address
1790 POWDER SPRINGS RD SW, MARIETTA, GA 30064-4154
(770) 919-7799
(503) 485-1279
Mailing address
PO BOX 3006, SALEM, OR 97302-0006
(503) 485-8697
(503) 486-1279
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
033030251
GA
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
033030251
GA
Other
Enumeration date
04/22/2007
Last updated
07/23/2008
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