Organization
CCRC OPCO - FOXWOOD SPRINGS, LLC
Active
Parent organization
BROOKDALE SENIOR LIVING INC
Other names
Foxwood Springs Living Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKDALE SENIOR LIVING INC
Authorized official
MR. MARK W OHLENDORF (CFO & PRESIDENT)
(414) 918-5000
Entity
Organization
Contact information
Practice address
1500 W FOXWOOD DR, RAYMORE, MO 64083-9372
(816) 331-3111
Mailing address
1500 W FOXWOOD DR, RAYMORE, MO 64083-9347
(816) 331-3111
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
032980
MO
314000000X
Skilled Nursing Facility
Primary
032979
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101486306
—
MO
Enumeration date
08/31/2006
Last updated
11/11/2014
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