Organization · NPI-2

Arc Countryside, LLC

Assisted Living Facility · Clearwater, FL

NPI number1396046728
StatusActive
Last updated in NPPESSep 8, 2015

Details

NPI
1396046728
Entity type
Organization (NPI-2)
Legal business name
Arc Countryside, LLC
Organization subpart
No
Enumeration date
Nov 17, 2010
Last updated
Sep 8, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Other names

  • Brookdale Countryside (Doing Business As)

Practice location

3260 N Mcmullen Booth Rd
Clearwater, FL 33761-2040

Phone 727-726-5090 · Fax 727-723-0808

Mailing address

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

Authorized official

Mark Ohlendorf
President
4149185000

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