Organization
EMERITUS PROPERTIES NGH, LLC
Active
Parent organization
EMERITUS CORPORATION
Other names
Village Oaks at Fort Wayne
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMERITUS CORPORATION
Authorized official
NOELLE DIAZ BICKEL (LICENSING SPECIALIST)
(206) 298-2909
Entity
Organization
Contact information
Practice address
4730 E STATE BLVD, FORT WAYNE, IN 46815-6975
(260) 484-0308
(260) 471-6665
Mailing address
3131 ELLIOTT AVE, SUITE 500, SEATTLE, WA 98121-1044
(206) 298-2909
(206) 301-4500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
088-003273-1
IN
311500000X
Alzheimer Center (Dementia Center)
08-003273-1
IN
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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