Organization
VEGAS ASSISTED LIVING LLC
Active
Other names
Plaza At Sun Mountain
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON M HARDER (MANAGER)
(503) 375-9016
Entity
Organization
Contact information
Practice address
6031 CHEYENNE AVE, LAS VEGAS, NV 89108-4200
(702) 658-5882
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
Primary
2089AGC-16
NV
310400000X
Assisted Living Facility
2089AGC-21
NV
Other
Enumeration date
02/20/2007
Last updated
07/14/2008
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