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Organization
S-H OPCO SPICEWOOD SPRINGS, LLC
Active
Organization
S-H OPCO SPICEWOOD SPRINGS, LLC
Active
Parent organization
BROOKDALE SENIOR LIVING INC.
Other names
Brookdale Spicewood Springs
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKDALE SENIOR LIVING INC.
Authorized official
MR. MARK W OHLENDORF (PRESIDENT)
(414) 918-5000
Entity
Organization
Contact information
Practice address
4401 SPICEWOOD SPRINGS RD, AUSTIN, TX 78759-8682
(512) 418-8822
(512) 418-8825
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
(414) 918-5332
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
129734
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67-5533
MEDICARE PTAN
—
Enumeration date
03/25/2010
Last updated
12/29/2015
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