Organization
SHERIDAN SENIOR LIVING, LLC
Active
Other names
Sugarland Ridge Senior Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY DUNN (CRO REPRESENTATIVE)
(503) 485-4948
Entity
Organization
Contact information
Practice address
1551 SUGARLAND DR, SHERIDAN, WY 82801
(307) 674-5575
(503) 485-1279
Mailing address
3723 FAIRVIEW INDUSTRIAL DR SE, SALEM, OR 97302
(503) 375-9016
(503) 485-1279
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10235
WY
310400000X
Assisted Living Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126323400
—
WY
Enumeration date
05/15/2008
Last updated
10/19/2009
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