Organization
AHC SOUTHLAND-MELBOURNE, LLC
Active
Parent organization
BROOKDALE SENIOR LIVING INC.
Other names
Brookdale Eau Gallie
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKDALE SENIOR LIVING INC.
Authorized official
BRYAN D RICHARDSON (EXECUTIVE VICE PRESIDENT)
(615) 221-2250
Entity
Organization
Contact information
Practice address
2680 CROTON RD, MELBOURNE, FL 32935-3576
(321) 255-5443
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
—
690889600
—
FL
Enumeration date
12/28/2006
Last updated
05/03/2016
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