BROOKDALE SENIOR LIVING COMMUNITIES INC. NPI 1083959902

NPI Information

BROOKDALE SENIOR LIVING COMMUNITIES, INC. is an assisted living facility in Boise, ID. 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. BROOKDALE SENIOR LIVING COMMUNITIES, INC. NPI is 1083959902. The provider is registered as an organization entity type.
The provider Is Doing Business As Wynwood At River Place.

The provider's business location address is:

739 E PARKCENTER BLVD
BOISE, ID
ZIP 83706-511
Phone: (208) 338-5600

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

The CLIA number assigned to this NPI record is 13D2090211 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2012 and was last updated on 12/4/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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