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Organization

S-H THIRTY-FIVE OPCO - ORANGE CITY, LLC

Active
Other names
Brookdale Orange City
Organization subpart
No

Provider details

NPI number
Authorized official
BRYAN RICHARDSON (EXECUTIVE VICE PRESIDENT)
(615) 221-2250
Entity
Organization

Contact information

Practice address
500 GRAND PLAZA DR, ORANGE CITY, FL 32763-7900
(386) 775-3561
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
02/18/2014
Last updated
05/23/2016
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