# BREA EMERITUS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366656472
- **Authorized official:** MR. KACY KANG V.P.O. (VICE PRESIDENT OPERATIONS)
- **Authorized official phone:** (206) 289-2909

## Contact information

- **Practice address:** 3131 ELLIOTT AVE, 500, SEATTLE, WA 98121-1044
- **Practice address phone:** (206) 289-2909
- **Mailing address:** 3131 ELLIOTT AVE, 500, SEATTLE, WA 98121-1044
- **Mailing address phone:** (206) 289-2909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | AL0231 | CO | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/22/2020
