NPI | 1861776080 |
---|---|
Doing Business As | BROOKDALE FILLMORE POND |
Entity Type | Organization |
Authorized Contact | JOANNE K LESKOWICZ Senior Vice President 414-918-5000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: VT 310) |
Enumeration Date | 2011-10-06 |
Last Update Date | 2020-07-21 |