# CODY SENIOR LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ABSAROKA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932327517
- **Authorized official:** JON HARDER (MANAGER)
- **Authorized official phone:** (503) 485-4600

## Contact information

- **Practice address:** 2401 COUGAR AVE, CODY, WY 82414-8499
- **Practice address phone:** (307) 527-7080
- **Mailing address:** 3723 FAIRVIEW INDUSTRIAL DR SE, 270, SALEM, OR 97302-1177
- **Mailing address phone:** (503) 485-4600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 07-051 | WY | Yes |

## Other

- **Enumeration date:** 04/22/2007
- **Last updated:** 08/22/2020