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Organization

BROOKDALE SENIOR LIVING COMMUNITIES, INC.

Active
Other names
Brookdale Port Orange
Organization subpart
No

Provider details

NPI number
Authorized official
JOANNE K LESKOWICZ (SENIOR VICE PRESIDENT)
(414) 918-5000
Entity
Organization

Contact information

Practice address
955 VILLAGE TRL, PORT ORANGE, FL 32127-8916
(386) 304-3333
(386) 304-3319
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

Enumeration date
11/17/2010
Last updated
05/02/2023
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