Organization
EMERITUS CORPORATION
Active
Other names
Brookdale North Ogden
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
1340 NORTH WASHINGTON BOULEVARD, OGDEN, UT 84404
(801) 737-1230
(801) 737-1238
Mailing address
6737 W WASHINGTON ST STE 2300, MILWAUKEE, WI 53214-5650
(414) 918-5000
(801) 737-1238
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
2005-ALII-63511
UT
310400000X
Assisted Living Facility
Primary
2013-ALII-63511
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911712691001
—
UT
Enumeration date
01/04/2007
Last updated
06/13/2016
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