Organization
EMERITUS CORPORATION
Active
Other names
Emeritus at Eastover
Organization subpart
No
Provider details
NPI number
Authorized official
NOELLE BICKEL (LICENSING SPECIALIST)
(206) 298-2909
Entity
Organization
Contact information
Practice address
3610 RANDOLPH RD, CHARLOTTE, NC 28211-1318
(704) 366-2550
(704) 366-4041
Mailing address
3131 ELLIOTT AVE, SUITE 500, SEATTLE, WA 98121-1044
(206) 298-2909
(206) 301-4500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-060-110
NC
311500000X
Alzheimer Center (Dementia Center)
HAL-060-110
NC
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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