| NPI | 1770897902 |
|---|---|
| Doing Business As | BROOKDALE SOUTHGATE |
| Entity Type | Organization |
| Authorized Contact | MARK OHLENDORF President/CEO 414-918-5403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2015-05-14 |