Organization
ASSISTED LIVING CONCEPTS INC
Active
Other names
Bayside at South Beach fka Spencer House
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER A LEVONOWICH (VICE PRESIDENT CONTROLLER)
(262) 257-8888
Entity
Organization
Contact information
Practice address
411 SE 35TH STREET, NEWPORT, OR 97366
(541) 667-7400
(541) 884-8576
Mailing address
W140 N8981 LILLY ROAD, ATTN LEGAL DEPARTMENT, MENOMONEE FALLS, WI 53051-2325
(262) 257-8888
(262) 251-7633
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500572
—
OR
Enumeration date
10/01/2007
Last updated
10/01/2007
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