Organization
MEADOW WIND ASST LIVING COMM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON HARDER (CEO PRESIDENT)
(503) 485-4600
Entity
Organization
Contact information
Practice address
3955 E 12TH ST, CASPER, WY 82609-3114
(307) 577-3045
(503) 485-1495
Mailing address
PO BOX 3006, SALEM, OR 97302-0006
(503) 486-4600
(503) 485-1495
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
06-022
WY
Other
Enumeration date
02/17/2007
Last updated
08/22/2020
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