Sh Opco East Bay Manor LLC

NPI #1659651560 in Riverside, Rhode Island

Provider Information

NPI Number
1659651560
Entity Type
Organization
Organization Name
Sh Opco East Bay Manor LLC
Subpart
Yes (part of a larger organization)
Parent Organization
BROOKDALE SENIOR LIVING INC
Primary Specialty
Assisted Living Facility
Enumeration Date
Aug 23, 2011
Last Updated
Aug 23, 2011

Practice Location

Address
1440 WAMPANOAG TRL
ZIP Code
02915-1045
Phone
(401) 433-5000

Authorized Official

Name
MARK W OHLENDORF
Title
ASSISTANT SECRETARY
Phone
(414) 918-5000

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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