Whalio Doctors

NPI 1043438633

Jasper Senior Living LLC

Organisation Assisted Living Facility Jasper, AL

Practice location

Address
2100 Viking Dr, Jasper, AL 35501-0112
Phone
(205) 384-0660
Fax
(503) 485-1279
Mailing address
PO Box 3006, Salem, OR 97302-0006

Authorised official

Name
Jon M Harder
Title
Manager
Phone
(503) 375-9016

Registered specialties (2)

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence D6412 (AL)
Alzheimer Center (Dementia Center)
Nursing & Custodial Care Facilities Taxonomy 311500000X Licence P6401 (AL)

Registry record

NPI
1043438633
Entity type
Organization
NPI issued
22 Apr 2007
Record last updated
22 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.