Southern Assisted Living, Llc.

NPI #1699831594 in Wake Forest, North Carolina

Provider Information

NPI Number
1699831594
Entity Type
Organization
Organization Name
Southern Assisted Living, Llc.
Subpart
Yes (part of a larger organization)
Parent Organization
BROOKDALE SENIOR LIVING INC
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 28, 2006
Last Updated
Apr 8, 2021

Practice Location

Address
611 BROOKS ST
ZIP Code
27587-2978
Phone
(919) 562-8400

Authorized Official

Name
JOANNE K LESKOWICZ
Title
SENIOR VICE PRESIDENT
Phone
(414) 918-5000

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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