Organization
BREA EMERITUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KACY KANG V.P.O. (VICE PRESIDENT OPERATIONS)
(206) 289-2909
Entity
Organization
Contact information
Practice address
3131 ELLIOTT AVE, 500, SEATTLE, WA 98121-1044
(206) 289-2909
Mailing address
3131 ELLIOTT AVE, 500, SEATTLE, WA 98121-1044
(206) 289-2909
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
AL0231
CO
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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