Organization
S-H THIRTY-FIVE OPCO - POCASSET, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OHLENDORF (CFO)
(414) 918-5000
Entity
Organization
Contact information
Practice address
12 OLD POCASSET LN, JOHNSTON, RI 02919-3138
(401) 421-6610
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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