Organization
BREA EMERITUS LLC
Active
Other names
Brookdale Trail Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE K LESKOWICZ (SENIOR VICE PRESIDENT)
(414) 918-5000
Entity
Organization
Contact information
Practice address
21739 N 151ST AVE, SUN CITY WEST, AZ 85375-6150
(623) 546-3650
(623) 546-3740
Mailing address
21739 N 151ST AVE, SUN CITY WEST, AZ 85375-6150
(623) 546-3650
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215213
—
AZ
Enumeration date
05/03/2007
Last updated
07/18/2023
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