# LEXINGTON SENIOR LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park Avenue Estates Senior Living Community
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871610659
- **Authorized official:** JON M HARDER (MANAGER)
- **Authorized official phone:** (503) 375-9016

## Contact information

- **Practice address:** 1811 RIDGEWAY DR, LEXINGTON, NE 68850-1188
- **Practice address phone:** (308) 324-5490
- **Mailing address:** PO BOX 3006, SALEM, OR 97302-0006
- **Mailing address phone:** (503) 375-9016
- **Mailing address fax:** (503) 485-1279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | ALF-125 | NE | Yes |
| 310400000X | Assisted Living Facility | — | NULL | — |

## Other

- **Enumeration date:** 03/25/2007
- **Last updated:** 07/14/2008