Organization
EMERITUS CORPORATION
Active
Other names
Emeritus at Fulton Villa
Organization subpart
No
Provider details
NPI number
Authorized official
NOELLE BICKEL (LICENSING SPECIALIST)
(209) 298-2909
Entity
Organization
Contact information
Practice address
517 E FULTON ST, STOCKTON, CA 95204-2251
(209) 466-2116
Mailing address
3131 ELLIOTT AVE STE 500, SEATTLE, WA 98121-1032
(206) 298-2909
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
397000370
CA
Other
Enumeration date
06/25/2008
Last updated
11/24/2009
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