Organization
EMERITUS CORPORATION
Active
Other names
Brookdale Moses Lake
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
8425 ASPI BLVD, MOSES LAKE, WA 98837-3615
(509) 762-9115
(509) 762-9146
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
720403
—
WA
Enumeration date
07/27/2010
Last updated
05/18/2016
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