| Organization Name: | STAYTON SW ASSISTED LIVING LLC |
| NPI Number: | 1689791485 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JON M HARDER (MANAGER) |
| Mailing Address: | 2201 3rd Avenue Stayton |
| State: | OR US |
| Postal Code: | 973831388 |
| Phone Number: | 5037693200 |
| Fax Number: | |
| NPI Enumeration Date: | 03/25/2007 |
| NPI Last Update Date: | 07/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 310400000X |
| License Number: | 1769313990 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |