Organization · Type 2 NPI

Southern Assisted Living, Llc.

Assisted Living Facility · Gastonia, NC

NPI number 1093871949 Active

Practice location

1717 Union Rd
Gastonia, NC 28054-5583

Call (704) 864-9440 Map

Fax (704) 864-1935

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.

Another provider at this address

Gaston ManorAssisted Living Facility Gastonia, NC NPI 1477873370

Other assisted living facility providers in Gastonia

See all in Gastonia →

NPI record

NPI: 1093871949
Entity type: Organization (Type 2)
Issued: Dec 28, 2006
Last updated: Apr 8, 2021
Status: Active
Subpart: Yes of Brookdale Senior Living Inc

Other names

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Brookdale Union · 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 1093871949

Southern Assisted Living, Llc.'s National Provider Identifier is 1093871949, issued on Dec 28, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Gastonia, NC. The record was last updated on Apr 8, 2021.