Organization
EMERITUS CORPORATION
Active
Other names
Emeritus at Tewksbury
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OHLENDORF (PRESIDENT/CEO)
(414) 918-5403
Entity
Organization
Contact information
Practice address
2580 MAIN ST, TEWKSBURY, MA 01876-3155
(978) 657-0800
(978) 657-8087
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11032739 C
—
MA
Enumeration date
03/07/2007
Last updated
02/18/2015
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