Organization
TLC NORTH LLC
Active
Other names
RIVER ROAD ASSISTED LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
JON M HARDER (MANAGER)
(503) 375-9016
Entity
Organization
Contact information
Practice address
592 BEVER DR NE, KEIZER, OR 97303-4991
(503) 463-4060
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
1077373683
OR
310400000X
Assisted Living Facility
Primary
—
OR
Other
Enumeration date
03/31/2007
Last updated
07/14/2008
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