Organization
SOUTHERN ASSISTED LIVING, LLC.
Active
Parent organization
BROOKDALE SENIOR LIVING INC
Other names
Brookdale Monroe Square 2
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
919 FITZGERALD ST, MONROE, NC 28112-5680
(704) 225-9556
(704) 226-0789
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
—
7803888
—
NC
Enumeration date
12/28/2006
Last updated
04/07/2021
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