Organization
SH1 HARDIN OPCO LLC
Active
Other names
Lancaster Grove Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI LYNN BAKER (LICENSING COORDINATOR)
(503) 998-5810
Entity
Organization
Contact information
Practice address
1004 HARDIN ST, LANCASTER, SC 29720-1609
(803) 801-1288
(803) 289-1778
Mailing address
5101 NE 82ND AVE STE 200, VANCOUVER, WA 98662-6343
(360) 254-9442
(360) 254-1770
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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