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Organization

S-H THIRTY-FIVE OPCO - BELLA VITA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK OHLENDORF (CFO)
(414) 918-5000
Entity
Organization

Contact information

Practice address
1420 E VENICE AVE, VENICE, FL 34292-3063
(941) 485-1196
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
05/13/2015
Last updated
05/13/2015
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