Organization
WOODSTOCK ESTATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON HARDER (CEO PRESIDENT)
(503) 485-8697
Entity
Organization
Contact information
Practice address
100 PROFESSIONAL WAY, WOODSTOCK, GA 30188
(770) 926-0119
(503) 485-1279
Mailing address
PO BOX 3006, SALEM, OR 97302-0006
(503) 485-8697
(503) 485-1279
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
GA
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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