NPI 1184811143

Jackson Hole Senior Living, LLC

Organisation Assisted Living Facility Jackson Hole, WY

Practice location

Address: 3000 W Big Trail Dr, Jackson Hole, WY 83001-9138
Phone: (307) 734-0500
Mailing address: 3723 Fairview Industrial Dr SE, Salem, OR 97302-1177

Authorised official

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

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 08-035 (WY)

Other Assisted Living Facility providers in Wyoming →

Registry record

NPI: 1184811143
Entity type: Organization
NPI issued: 3 Oct 2007
Record last updated: 3 Oct 2007

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.