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Organization

WESTERN AVENUE SENIOR LIVING OP CO, LLC

Active
Parent organization
AGEMARK MANAGEMENT. LLC
Other names
Astoria Senior Living
Organization subpart
Yes

Provider details

NPI number
Legal business name
AGEMARK MANAGEMENT. LLC
Authorized official
MARTIN (MARTY) L HUG (CEO)
(402) 469-0750
Entity
Organization

Contact information

Practice address
9220 WESTERN AVE, OMAHA, NE 68114-2297
(402) 393-7313
Mailing address
9220 WESTERN AVE, OMAHA, NE 68114-2297
(402) 393-7313

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
08/24/2023
Last updated
11/09/2023
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