Organization
EMERICARE INC
Active
Other names
Brookdale Christown
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WILLIAM OHLENDORF (PRESIDENT & CFO, DIRECTOR)
(414) 918-5000
Entity
Organization
Contact information
Practice address
6246 N 19TH AVE, PHOENIX, AZ 85015-1511
(602) 433-6300
(602) 433-6218
Mailing address
6737 W. WASHINGTON STREET, SUITE 2300, MILWAUKEE, WI 53214-5650
(414) 918-5000
(414) 918-5050
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-2693
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
592143
—
AZ
Enumeration date
08/17/2010
Last updated
03/25/2015
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