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CCRC OPCO - FREEDOM SQUARE LLC NPI 1609260371


NPI Information

NPI: 1609260371
Provider Name: CCRC OPCO - FREEDOM SQUARE, LLC

Doing Business As: THE INN AT FREEDOM SQUARE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
6737 W WASHINGTON ST
SUITE 2300
MILWAUKEE, WI
ZIP 53214
Phone: (414) 918-5000
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CCRC OPCO - FREEDOM SQUARE, LLC is an assisted living facility in Milwaukee, WI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CCRC OPCO - FREEDOM SQUARE, LLC NPI is 1609260371. The provider is registered as an organization entity type.
The provider Is Doing Business As The Inn At Freedom Square.

The provider's business location address is:

6737 W WASHINGTON ST
SUITE 2300
MILWAUKEE, WI
ZIP 53214-647
Phone: (414) 918-5000

The provider's authorized official is Mark W Ohlendorf .
The authorized official title is President and has the following contact phone number (414) 918-5000.

The enumeration date for this NPI number is 3/20/2015 and was last updated on 3/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityAL4759FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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