Organization
BROOKDALE SENIOR LIVING COMMUNITIES INC
Active
Parent organization
BROOKDALE SENIOR LIVING
Other names
Sterling House of Kokomo
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKDALE SENIOR LIVING
Authorized official
JOHN P RIJOS (CO-PRESIDENT/COO)
(312) 977-3700
Entity
Organization
Contact information
Practice address
3025 W SYCAMORE ST, KOKOMO, IN 46901-4176
(765) 456-1490
Mailing address
3025 W SYCAMORE ST, KOKOMO, IN 46901-4176
(765) 456-1490
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12-011075-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APPLIED FOR
MEDICAID WAIVER
IN
Enumeration date
11/29/2012
Last updated
11/29/2012
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