Organization
ARC COCONUT CREEK, LLC
Active
Other names
Homewood Residence at Coconut Creek
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OHLENDORF (CO-PRESIDENT)
(414) 918-5000
Entity
Organization
Contact information
Practice address
4175 W SAMPLE RD, COCONUT CREEK, FL 33073-4456
(954) 975-6399
(954) 975-2367
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
11/17/2010
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