Ccrc Opco - Bradenton, LLC

NPI #1013947084 in Bradenton, Florida

Provider Information

NPI Number
1013947084
Entity Type
Organization
Organization Name
Ccrc Opco - Bradenton, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BROOKDALE SENIOR LIVING INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 4, 2006
Last Updated
Oct 3, 2014

Practice Location

Address
6410 21ST AVE W
State
Florida
ZIP Code
34209-7854
Phone
(941) 798-8200

Authorized Official

Name
MR. MARK W OHLENDORF
Title
PRESIDENT
Phone
(414) 918-5000

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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