Organization
CCRC OPCO - FREEDOM SQUARE, LLC
Active
Parent organization
BROOKDALE SENIOR LIVING, INC.
Other names
The Inn at Freedom Square
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
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
(414) 918-5000
Mailing address
10801 JOHNSON BLVD, SEMINOLE, FL 33772-4746
(727) 398-0379
(727) 398-0461
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL4759
FL
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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