Organization
S-H OPCO COTTAGE VILLAGE, LLC
Active
Other names
Cottage Village Senior Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OHLENDORF (CFO)
(414) 918-5000
Entity
Organization
Contact information
Practice address
110 FRANKFORD AVE, LUBBOCK, TX 79416-1426
(806) 799-4225
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
07/22/2014
Last updated
07/22/2014
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