Organization
EMERITUS CORPORATION
Active
Other names
Brookdale North Phoenix
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
4050 E BLUEFIELD AVE, PHOENIX, AZ 85032-1445
(602) 996-6268
(602) 996-2814
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALC 4609
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
863044
—
AZ
Enumeration date
05/01/2007
Last updated
05/12/2016
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