Organization
CCRC OPCO - CYPRESS VILLAGE, LLC
Active
Parent organization
BROOKDALE SENIOR LIVING INC
Other names
Cypress Village
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKDALE SENIOR LIVING INC
Authorized official
MR. MARK W OHLENDORF (PRESIDENT)
(414) 918-5000
Entity
Organization
Contact information
Practice address
4600 MIDDLETON PARK CIR E, JACKSONVILLE, FL 32224-5691
(901) 223-6100
Mailing address
330 N WABASH AVE, SUITE 1400, CHICAGO, IL 60611-3586
(312) 977-3700
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AL7720
FL
314000000X
Skilled Nursing Facility
Primary
SNF11170961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30799800
—
FL
Enumeration date
05/10/2006
Last updated
10/03/2014
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