Organization
BREA EMERITUS
Active
Other names
Brookdale Emerson
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OHLENDORF (PRESIDENT/CEO)
(414) 918-5403
Entity
Organization
Contact information
Practice address
590 OLD HOOK RD, EMERSON, NJ 07630-1378
(201) 986-9009
(201) 986-9777
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
05A004
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074578
—
NJ
Enumeration date
05/21/2007
Last updated
05/14/2015
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