# SH1 HARDIN OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lancaster Grove Senior Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699555177
- **Authorized official:** TERRI LYNN BAKER (LICENSING COORDINATOR)
- **Authorized official phone:** (503) 998-5810

## Contact information

- **Practice address:** 1004 HARDIN ST, LANCASTER, SC 29720-1609
- **Practice address phone:** (803) 801-1288
- **Practice address fax:** (803) 289-1778
- **Mailing address:** 5101 NE 82ND AVE STE 200, VANCOUVER, WA 98662-6343
- **Mailing address phone:** (360) 254-9442
- **Mailing address fax:** (360) 254-1770

## Taxonomy

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

## Other

- **Enumeration date:** 10/03/2023
- **Last updated:** 10/03/2023