Organization
BLC THE FAIRWAYS LH LLC
Active
Parent organization
BROOKDALE SENIOR LIVING INC
Other names
Brookdale Wickliffe
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKDALE SENIOR LIVING INC
Authorized official
JOANNE K LESKOWICZ (SENIOR VICE PRESIDENT)
(414) 918-5000
Entity
Organization
Contact information
Practice address
30630 RIDGE RD, WICKLIFFE, OH 44092-1166
(440) 943-2050
Mailing address
30630 RIDGE RD, WICKLIFFE, OH 44092-1166
(440) 943-2050
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2201R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3050728
—
OH
Enumeration date
03/17/2010
Last updated
11/25/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us