Organization
LEXINGTON SENIOR LIVING LLC
Active
Other names
Park Avenue Estates Senior Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
JON M HARDER (MANAGER)
(503) 375-9016
Entity
Organization
Contact information
Practice address
1811 RIDGEWAY DR, LEXINGTON, NE 68850-1188
(308) 324-5490
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
ALF-125
NE
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
03/25/2007
Last updated
07/14/2008
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