Organization
JACKSON HOLE SENIOR LIVING, LLC
Active
Other names
River Rock Lodge Assisted Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON M HARDER (MANAGER)
(503) 375-9016
Entity
Organization
Contact information
Practice address
3000 W BIG TRAIL DR, JACKSON HOLE, WY 83001-9138
(307) 734-0500
Mailing address
3723 FAIRVIEW INDUSTRIAL DR SE, SALEM, OR 97302-1177
(503) 375-9016
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
08-035
WY
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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