Organization
BLC DAYTON GC LLC
Active
Parent organization
BROOKDALE SENIOR LIVING INC
Other names
Brookdale Kettering
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKDALE SENIOR LIVING INC
Authorized official
JOANNE LESKOWICZ (SENIOR VICE PRESIDENT)
(414) 918-5000
Entity
Organization
Contact information
Practice address
280 WALDEN WAY, BEAVERCREEK TOWNSHIP, OH 45440-4461
(937) 427-0060
Mailing address
280 WALDEN WAY, DAYTON, OH 45440-4461
(937) 427-0060
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2078R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098533
—
OH
Enumeration date
03/20/2013
Last updated
11/17/2020
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