Organization
CANTON SENIOR LIVING, LLC
Active
Other names
Terrace at Riverstone
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY DUNN (CRO REPRESENTATIVE)
(503) 485-4948
Entity
Organization
Contact information
Practice address
125 RIVERSTONE TER, CANTON, GA 30114-5218
(770) 720-9669
(503) 485-1279
Mailing address
3723 FAIRVIEW INDUSTRIAL DR SE, SALEM, OR 97302-1177
(503) 485-8686
(503) 485-1286
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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