| NPI | 1013967231 |
|---|---|
| Doing Business As | BROOKDALE CARRIAGE CLUB PROVIDENCE |
| Entity Type | Organization |
| Authorized Contact | ANNA F.C. MUNOZ Assistant Secretary 414-918-5443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0574) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2025-02-25 |