Organization
BROOKDALE PLACE OF SOUTH CHARLOTTE, LLC
Active
Other names
Brookdale Place of South Charlotte
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OHLENDORF (CO-PRESIDENT)
(414) 918-5000
Entity
Organization
Contact information
Practice address
5515 REA RD, CHARLOTTE, NC 28226-3446
(704) 544-2094
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
08/14/2013
Last updated
08/14/2013
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