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Organization

S H OPCO GREENWICH BAY MANOR LLC

Active
Parent organization
BROOKDALE SENIOR LIVING INC
Other names
Greenwich Bay Retirement Licing
Organization subpart
Yes

Provider details

NPI number
Legal business name
BROOKDALE SENIOR LIVING INC
Authorized official
MARK W OHLENDORF (ASSISTANT SECRETARY)
(414) 918-5000
Entity
Organization

Contact information

Practice address
945 MAIN ST, EAST GREENWICH, RI 02818-3150
(401) 885-3334
(401) 885-1260
Mailing address
945 MAIN ST, EAST GREENWICH, RI 02818-3150
(401) 885-3334
(401) 885-1260

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PENDING
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TBD
RI
Enumeration date
08/16/2011
Last updated
08/17/2011
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  • Eligibility checks
  • EDI platform