Organization
ARC COUNTRYSIDE, LLC
Active
Other names
Brookdale Countryside
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OHLENDORF (PRESIDENT)
(414) 918-5000
Entity
Organization
Contact information
Practice address
3260 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761-2040
(727) 726-5090
(727) 723-0808
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
11/17/2010
Last updated
09/08/2015
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