Organization
CCRC OPCO - BRADENTON, LLC
Active
Parent organization
BROOKDALE SENIOR LIVING INC
Other names
The Nursing Center at Freedom Village
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
6410 21ST AVE W, BRADENTON, FL 34209-7854
(941) 798-8200
(941) 798-8305
Mailing address
111 WESTWOOD PL, SUITE 200, BRENTWOOD, TN 37027-5021
(615) 221-2250
(615) 221-2269
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1168096
FL
Other
Enumeration date
07/04/2006
Last updated
10/03/2014
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