Organization · Type 2 NPI

Southern Assisted Living, Llc.

Assisted Living Facility · Greensboro, NC

NPI number 1043375009 Active

Practice location

4400 Lawndale Dr
Greensboro, NC 27455-1819

Call (336) 286-3432 Map

Fax (336) 286-3005

Mailing address

6737 W Washington St, Suite 2300
Milwaukee, WI 53214-5647

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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NPI record

NPI: 1043375009
Entity type: Organization (Type 2)
Issued: Dec 27, 2006
Last updated: Apr 7, 2021
Status: Active
Subpart: Yes of Brookdale Senior Living Inc

Other names

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Brookdale Lawndale Park · doing business as

Authorized official

Joanne K Leskowicz
Senior Vice President
(414) 918-5000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043375009

Southern Assisted Living, Llc.'s National Provider Identifier is 1043375009, issued on Dec 27, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Greensboro, NC. The record was last updated on Apr 7, 2021.