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NPI Code Detail

MEDICARE: BROOKDALE SENIOR LIVING COMMUNITIES, INC.

MEDICARE: BROOKDALE SENIOR LIVING COMMUNITIES, INC.
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 Facility

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 : 1871659219
Entity Type Code : Organization
Provider Name (Legal Business Name) : BROOKDALE SENIOR LIVING COMMUNITIES, INC.
Provider Business Mailing Address
First Line : 6737 W WASHINGTON ST
Second Line : SUITE 2300
City : MILWAUKEE
State : WI
Zip : 53214-5647
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 420 YAUGER WAY SW
Second Line :
City : OLYMPIA
State : WA
Zip : 98502-8660
Country : US
Telephone Number : 360-236-1400
Fax Number :
Authorized Official
Title or Position : CO-PRESIDENT
Name : MARK OHLENDORF
Credential :
Telephone Number : 414-918-5000
Provider Enumeration Date : 12/29/2006
Last Update Date : 03/09/2009

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Directions to “BROOKDALE SENIOR LIVING COMMUNITIES, INC. ” Practice Location

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