Organization
JASPER SENIOR LIVING LLC
Active
Other names
The Terrace Senior Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
JON M HARDER (MANAGER)
(503) 375-9016
Entity
Organization
Contact information
Practice address
2100 VIKING DR, JASPER, AL 35501-0112
(205) 384-0660
(503) 485-1279
Mailing address
PO BOX 3006, SALEM, OR 97302-0006
(503) 375-9016
(503) 485-1279
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
D6412
AL
311500000X
Alzheimer Center (Dementia Center)
P6401
AL
Other
Enumeration date
04/22/2007
Last updated
07/22/2008
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