Organization
BROOKDALE SENIOR LIVING COMMUNTIES INC
Active
Parent organization
BROOKDALE SENIOR LIVING INC
Other names
Sterling House of Urbana
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKDALE SENIOR LIVING INC
Authorized official
JOHN P RIJOS (CO-PRESIDENT)
(312) 977-3700
Entity
Organization
Contact information
Practice address
609 E WATER ST, URBANA, OH 43078-7100
(937) 652-1500
Mailing address
609 E WATER ST, URBANA, OH 43078-7100
(937) 652-1500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2155R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICAID WAIVER
OH
Enumeration date
10/04/2011
Last updated
10/04/2011
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