| NPI | 1679374003 |
|---|---|
| Doing Business As | BROOKDALE PORTAGE AL |
| Entity Type | Organization |
| Authorized Contact | ANNA F.C. MUNOZ Assistant Secretary 414-918-5443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |