Organization
BLC-PARK PLACE, LLC
Active
Other names
Park Place
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OHLENDORF (CO-PRESIDENT)
(414) 918-5000
Entity
Organization
Contact information
Practice address
601 S PARK RD, SPOKANE VALLEY, WA 99212-0593
(509) 922-7224
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
12/27/2013
Last updated
12/27/2013
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