Organization
SH OPCO EAST BAY MANOR LLC
Active
Parent organization
BROOKDALE SENIOR LIVING INC
Other names
East Bay Retirement Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKDALE SENIOR LIVING INC
Authorized official
MARK W OHLENDORF (ASSISTANT SECRETARY)
(414) 918-5000
Entity
Organization
Contact information
Practice address
1440 WAMPANOAG TRL, RIVERSIDE, RI 02915-1045
(401) 433-5000
(401) 433-4541
Mailing address
1440 WAMPANOAG TRL, RIVERSIDE, RI 02915-1045
(401) 433-5000
(401) 433-4541
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TBD
—
RI
Enumeration date
08/23/2011
Last updated
08/23/2011
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