Provider Demographics
NPI:1922708692
Name:RE II SENIOR II OPCO LLC
Entity Type:Organization
Organization Name:RE II SENIOR II OPCO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSET MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:SLADE
Authorized Official - Last Name:ZERBONIA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:305-934-9969
Mailing Address - Street 1:701 N COUNCIL RD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73127-4980
Mailing Address - Country:US
Mailing Address - Phone:405-787-4466
Mailing Address - Fax:405-789-8101
Practice Address - Street 1:701 N COUNCIL RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73127-4980
Practice Address - Country:US
Practice Address - Phone:405-787-4466
Practice Address - Fax:405-789-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility