Organization
AUTMUN GLEN ASST LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON HARDER (CEO PRESIDENT)
(503) 485-4600
Entity
Organization
Contact information
Practice address
2250 HARVEST MOON DR, INDIANAPOLIS, IN 46229-4970
(317) 891-1508
Mailing address
PO BOX 3006, SALEM, OR 97302-0006
(503) 485-4600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
IN
Other
Enumeration date
02/17/2007
Last updated
08/22/2020
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