Organization
EMERICARE INC
Active
Other names
Brookdale Fountaingrove
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W OHLENDORF (PRESIDENT)
(414) 918-5000
Entity
Organization
Contact information
Practice address
300 FOUNTAINGROVE PKWY, SANTA ROSA, CA 95403-5720
(707) 566-8600
(707) 566-7936
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
(414) 918-5000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
010000430
CA
Other
Enumeration date
09/20/2010
Last updated
12/29/2015
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