Organization
EMERAL SPRINGS ASSIT LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON A HARDER (CEO PRESIDENT)
(503) 485-4600
Entity
Organization
Contact information
Practice address
1475 S 46TH AVE, YUMA, AZ 85364-4010
(928) 329-7707
Mailing address
PO BOX 3006, SALEM, OR 97302-0006
(503) 485-4600
(503) 485-1495
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALC-P-4327
AZ
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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