Organization
BLC WELLINGTON-SEA, LLC
Active
Other names
Wellington Place By The Sea
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OHLENDORF (CO-PRESIDENT)
(414) 918-5000
Entity
Organization
Contact information
Practice address
1050 OCEAN SHORE BLVD, ORMOND BEACH, FL 32176-4126
(386) 441-1771
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690816100
—
FL
Enumeration date
12/28/2006
Last updated
06/13/2008
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