| NPI | 1538775465 |
|---|---|
| Doing Business As | BROOKDALE EBENEZER ROAD |
| Entity Type | Organization |
| Authorized Contact | JOANNE K LESKOWICZ Senior Vice President 414-918-5000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |