# SHERIDAN SENIOR LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sugarland Ridge Senior Living Community
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962679175
- **Authorized official:** SHIRLEY DUNN (CRO REPRESENTATIVE)
- **Authorized official phone:** (503) 485-4948

## Contact information

- **Practice address:** 1551 SUGARLAND DR, SHERIDAN, WY 82801
- **Practice address phone:** (307) 674-5575
- **Practice address fax:** (503) 485-1279
- **Mailing address:** 3723 FAIRVIEW INDUSTRIAL DR SE, SALEM, OR 97302
- **Mailing address phone:** (503) 375-9016
- **Mailing address fax:** (503) 485-1279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 10235 | WY | Yes |
| 310400000X | Assisted Living Facility | — | NULL | — |

## Other

- **Enumeration date:** 05/15/2008
- **Last updated:** 10/19/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 126323400 | — | WY |