Organization · Type 2 NPI
Jasper Senior Living LLC
Assisted Living Facility · Jasper, AL
NPI number
1043438633
Active
Practice location
2100 Viking Dr
Jasper, AL 35501-0112
Fax (503) 485-1279
Mailing address
PO Box 3006
Salem, OR 97302-0006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | D6412 (AL) |
| Alzheimer Center (Dementia Center) | 311500000X | P6401 (AL) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1043438633
Jasper Senior Living LLC's National Provider Identifier is 1043438633, issued on Apr 22, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Jasper, AL. The record was last updated on Jul 22, 2008.