# GRAYSONVIEW HARRISBURG

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

## Provider details

- **NPI number:** 1720122252
- **Authorized official:** MR. JON HARDER (CEO PRESIDENT)
- **Authorized official phone:** (503) 486-4600

## Contact information

- **Practice address:** 150 KEMPTON AVE, HARRISBURG, PA 17111-3543
- **Practice address phone:** (717) 558-7771
- **Practice address fax:** (503) 485-1495
- **Mailing address:** PO BOX 3006, SALEM, OR 97302-0006
- **Mailing address phone:** (503) 485-4600
- **Mailing address fax:** (503) 485-1495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 313511 | PA | Yes |

## Other

- **Enumeration date:** 02/17/2007
- **Last updated:** 08/22/2020
