# SH1 HAPPY WOODS OPCO LLC

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

## Provider details

- **NPI number:** 1871325969
- **Authorized official:** TERRI BAKER (FINANCE AND LICENSING COORDINATOR)
- **Authorized official phone:** (564) 203-3620

## Contact information

- **Practice address:** 3620 HAPPY WOODS CT, MYRTLE BEACH, SC 29588-2925
- **Practice address phone:** (843) 298-8888
- **Practice address fax:** (843) 293-0078
- **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 |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | — |

## Other

- **Enumeration date:** 08/16/2024
- **Last updated:** 08/16/2024