Organization
CCRC OPCO - SUN CITY CENTER, LLC
Active
Parent organization
BROOKDALE SENIOR LIVING INC
Other names
Plaza West
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKDALE SENIOR LIVING INC
Authorized official
MR. MARK W OHLENDORF (PRESIDENT)
(414) 918-5000
Entity
Organization
Contact information
Practice address
1010 AMERICAN EAGLE BLVD, SUN CITY CENTER, FL 33573-5284
(813) 633-1992
Mailing address
1010 AMERICAN EAGLE BLVD, SUN CITY CENTER, FL 33573-5284
(813) 633-1992
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1618096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021188500
—
FL
Enumeration date
05/11/2006
Last updated
10/03/2014
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