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Organization
EMERITUS CORPORATION
Active
Organization
EMERITUS CORPORATION
Active
Other names
Brookdale Skylyn
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
1705 SKYLYN DRIVE, SPARTANBURG, SC 29307
(864) 582-6838
(864) 852-1270
Mailing address
6737 W WASHINGTON ST STE 2300, MILWAUKEE, WI 53214-5650
(414) 918-5000
(206) 301-4500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0856
SC
310400000X
Assisted Living Facility
CRC-0856
SC
310400000X
Assisted Living Facility
CRC856
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RC0856
—
SC
Enumeration date
05/17/2007
Last updated
06/13/2016
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