Organization
BAH CA, LLC
Active
Parent organization
BROOKDALE SENIOR LIVING INC
Other names
Brookdale at Home Mirage Inn
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKDALE SENIOR LIVING INC
Authorized official
JOANNE LESKOWICZ (SENIOR VICE PRESIDENT)
(414) 918-5000
Entity
Organization
Contact information
Practice address
72750 COUNTRY CLUB DR, RANCHO MIRAGE, CA 92270-4083
(442) 241-8058
Mailing address
72750 COUNTRY CLUB DR, RANCHO MIRAGE, CA 92270-4083
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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