Organization
BREA DECATUR LLC
Active
Parent organization
BREA EMERITUS LLC
Other names
Court at Decatur
Organization subpart
Yes
Provider details
NPI number
Legal business name
BREA EMERITUS LLC
Authorized official
NOELLE BICKEL (LICENSING SPECIALIST)
(206) 298-2909
Entity
Organization
Contact information
Practice address
475 IRVIN CT, DECATUR, GA 30030-1717
(404) 299-6600
Mailing address
3131 ELLIOTT AVE STE 500, SEATTLE, WA 98121-1032
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
044-03-241
GA
311500000X
Alzheimer Center (Dementia Center)
044-03-241
GA
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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