Organization Name: | JASPER SENIOR LIVING LLC |
NPI Number: | 1043438633 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JON M HARDER (MANAGER) |
Mailing Address: | 2100 Viking Dr Jasper |
State: | AL US |
Postal Code: | 355010112 |
Phone Number: | 2053840660 |
Fax Number: | 5034851279 |
NPI Enumeration Date: | 04/22/2007 |
NPI Last Update Date: | 07/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311500000X |
License Number: | P6401 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Alzheimer Center (Dementia Center) |
Taxonomy Specialization: | |
Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |