Organization
BLC - PATRIOT HEIGHTS, LLC
Active
Parent organization
BROOKDALE SENIOR LIVING INC
Other names
Brookdale Patriot Heights
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKDALE SENIOR LIVING INC
Authorized official
MR. MARK W OHLENDORF (PRESIDENT)
(312) 977-3700
Entity
Organization
Contact information
Practice address
5000 FAWN MDWS, SAN ANTONIO, TX 78240-1539
(210) 696-6005
(210) 641-7881
Mailing address
111 WESTWOOD PL, SUITE 400, BRENTWOOD, TN 37027-5021
(615) 221-2250
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
114148
TX
314000000X
Skilled Nursing Facility
Primary
114144
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013188
—
TX
Enumeration date
05/11/2006
Last updated
02/11/2015
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