# MEADOW WIND ASST LIVING COMM

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

## Provider details

- **NPI number:** 1992849442
- **Authorized official:** MR. JON HARDER (CEO PRESIDENT)
- **Authorized official phone:** (503) 485-4600

## Contact information

- **Practice address:** 3955 E 12TH ST, CASPER, WY 82609-3114
- **Practice address phone:** (307) 577-3045
- **Practice address fax:** (503) 485-1495
- **Mailing address:** PO BOX 3006, SALEM, OR 97302-0006
- **Mailing address phone:** (503) 486-4600
- **Mailing address fax:** (503) 485-1495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 06-022 | WY | Yes |

## Other

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