| NPI | 1013967231 |
|---|---|
| Doing Business As | BROOKDALE CARRIAGE CLUB PROVIDENCE |
| Entity Type | Organization |
| Authorized Contact | JOANNE LESKOWICZ Senior Vice President 414-918-5332 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0574) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-05-09 |