ARC COUNTRYSIDE LLC NPI 1396046728

NPI Information

ARC COUNTRYSIDE, LLC is an assisted living facility in Clearwater, FL. 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. ARC COUNTRYSIDE, LLC NPI is 1396046728. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Countryside.

The provider's business location address is:

3260 N MCMULLEN BOOTH RD
CLEARWATER, FL
ZIP 33761-040
Phone: (727) 726-5090
Fax: (727) 723-0808

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

The CLIA number assigned to this NPI record is 10D0960677 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2010 and was last updated on 9/8/2015.

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:

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