Organization
MARIETTA SENIOR LIVING LLC
Active
Other names
Spring Mountain Assisted Living and Memory Care Community
Organization subpart
No
Provider details
NPI number
Authorized official
JON M HARDER (MANAGER)
(503) 375-9016
Entity
Organization
Contact information
Practice address
1790 POWDER SPRINGS RD SW, MARIETTA, GA 30064-4154
(770) 919-7799
(503) 485-1279
Mailing address
PO BOX 3006, SALEM, OR 97302-0006
(503) 485-8697
(503) 486-1279
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
033030251
GA
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
033030251
GA
Other
Enumeration date
04/22/2007
Last updated
07/23/2008
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