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Organization

BREA BOYNTON VILLAGE, LLC

Active
Other names
Brookdale East Boynton Beach
Organization subpart
No

Provider details

NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization

Contact information

Practice address
1935 S FEDERAL HWY, BOYNTON BEACH, FL 33435-6967
(561) 736-2424
(561) 738-1205
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL8189
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0103581-00
FL
Enumeration date
06/05/2007
Last updated
05/13/2016
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