Organization · Type 2 NPI

Southern Assisted Living, Llc.

Assisted Living Facility · Wake Forest, NC

NPI number 1699831594 Active

Practice location

611 Brooks St
Wake Forest, NC 27587-2978

Call (919) 562-8400 Map

Fax (919) 562-4687

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

Meg Elizabeth Wilber, COTA/LOccupational Therapy Assistant Wake Forest, NC NPI 1306147707

Other assisted living facility providers in Wake Forest

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NPI record

NPI: 1699831594
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

<unavail>
Brookdale Wake Forest · 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 1699831594

Southern Assisted Living, Llc.'s National Provider Identifier is 1699831594, issued on Dec 28, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Wake Forest, NC. The record was last updated on Apr 8, 2021.