Organization
ESC NEW PORT RICHEY, LLCEMERITUS PROPERTIES NGH LLC
Active
Other names
Brookdale Southpoint
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
6895 BELFORT OAKS PL, JACKSONVILLE, FL 32216-6242
(904) 296-2384
(904) 296-2915
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9380
FL
311500000X
Alzheimer Center (Dementia Center)
AL9380
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058000-00
—
FL
Enumeration date
05/21/2007
Last updated
05/13/2016
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