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Organization

THE FAIRWAYS

Active
Parent organization
BROOKDALE SENIOR LIVING
Organization subpart
Yes

Provider details

NPI number
Legal business name
BROOKDALE SENIOR LIVING
Authorized official
MR. JEFFREY KNIGHT (EXECUTIVE DIRECTOR)
(440) 943-2050
Entity
Organization

Contact information

Practice address
30630 RIDGE RD, WICKLIFFE, OH 44092-1166
(440) 943-2050
(440) 943-0403
Mailing address
30630 RIDGE RD, WICKLIFFE, OH 44092-1166
(440) 943-2050
(440) 943-0403

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2201R
OH
311500000X
Alzheimer Center (Dementia Center)
2201R
OH

Other

Enumeration date
12/23/2009
Last updated
12/23/2009
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