NPI 1063626133

Southbury Senior Living, LLC

Organisation Assisted Living Facility Southbury, CT

Practice location

Address: 655 Main St S, Southbury, CT 06488-4220
Phone: (503) 485-4600
Mailing address: PO Box 3006, Salem, OR 97302-0006

Authorised official

Name: Jon Harder
Title: Manager
Phone: (503) 485-4600

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1063626133
Entity type: Organization
NPI issued: 9 May 2007
Record last updated: 22 Aug 2020

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.