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NPI Code Detail

MEDICARE: BROOKDALE PLACE AT FINNEYTOWN LLC

MEDICARE: BROOKDALE PLACE AT FINNEYTOWN LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility2267ROH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700190345
Entity Type Code : Organization
Provider Name (Legal Business Name) : BROOKDALE PLACE AT FINNEYTOWN LLC
Provider Business Mailing Address
First Line : 9101 WINTON RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-3829
Country : US
Telephone Number : 513-729-5233
Fax Number : 513-729-5234
Provider Business Practice Location Address
First Line : 9101 WINTON RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-3829
Country : US
Telephone Number : 513-729-5233
Fax Number : 513-729-5234
Authorized Official
Title or Position : SENIOR VICE PRESIDENT
Name : JOANNE K LESKOWICZ
Credential :
Telephone Number : 414-918-5000
Provider Enumeration Date : 08/05/2010
Last Update Date : 11/17/2020

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Directions to “BROOKDALE PLACE AT FINNEYTOWN LLC ” Practice Location

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