Organization
EMERITUS CORPORATION
Active
Other names
Brookdale Eddy Pond East
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
667 WASHINGTON ST, AUBURN, MA 01501-2722
(508) 832-2200
(508) 832-2411
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MA
311500000X
Alzheimer Center (Dementia Center)
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1903489
—
MA
Enumeration date
02/25/2007
Last updated
05/16/2016
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