Organization
S-H OPCO SAN JUAN CAPISTRANO, LLC
Active
Other names
Brookdale San Juan Capistrano
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W. OHLENDORF (ASSISTANT CORPORATE SECRETARY)
(414) 918-5000
Entity
Organization
Contact information
Practice address
31741 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675-6722
(949) 248-8855
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/25/2014
Last updated
03/08/2015
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