Organization · Type 2 NPI

CCRC Opco - Freedom Square, LLC

Assisted Living Facility · Milwaukee, WI

NPI number 1609260371 Active

Practice location

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

Call (414) 918-5000 Map

Mailing address

10801 Johnson Blvd
Seminole, FL 33772-4746

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	AL4759 (FL)

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.

12 other providers at this address

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NPI record

NPI: 1609260371
Entity type: Organization (Type 2)
Issued: Mar 20, 2015
Last updated: Mar 20, 2015
Status: Active
Subpart: Yes of Brookdale Senior Living, Inc.

Other names

<unavail>
The Inn at Freedom Square · doing business as

Authorized official

Mr. Mark W Ohlendorf
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 1609260371

CCRC Opco - Freedom Square, LLC's National Provider Identifier is 1609260371, issued on Mar 20, 2015. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Milwaukee, WI. The record was last updated on Mar 20, 2015.