Organization
BROOKDALE SENIOR LIVING COMMUNITIES INC
Active
Parent organization
BROOKDALE SENIOR LIVING INC
Other names
Sterling House of Fairfield
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKDALE SENIOR LIVING INC
Authorized official
JOHN P RIJOS (CO-PRESIDENT/COO)
(312) 977-3700
Entity
Organization
Contact information
Practice address
2357 MACK RD, FAIRFIELD, OH 45014-8669
(513) 939-2500
(513) 939-2533
Mailing address
2357 MACK RD, FAIRFIELD, OH 45014-8669
(513) 939-2500
(513) 939-2533
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APPLIED FOR
MEDICAID WAIVER
OH
Enumeration date
09/05/2012
Last updated
09/05/2012
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