| NPI | 1184341331 |
|---|---|
| Doing Business As | BROOKDALE AT HOME AT LAKE SHORE DRIVE |
| Entity Type | Organization |
| Authorized Contact | JOANNE K LESKOWICZ Senior Vice President 414-918-5000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-27 |