Organization
EMERITUS CORPORATION
Active
Parent organization
BROOKDALE SENIOR LIVING INC
Other names
Brookdale Marysville
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKDALE SENIOR LIVING INC
Authorized official
JOANNE K LESKOWICZ (SENIOR VICE PRESIDENT)
(414) 918-5000
Entity
Organization
Contact information
Practice address
1565 LONDON AVENUE, MARYSVILLE, OH 43040
(937) 738-7342
(937) 738-7443
Mailing address
6737 W WASHINGTON ST STE 2300, MILWAUKEE, WI 53214-5650
(414) 918-5000
(937) 738-7443
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2569R
OH
310400000X
Assisted Living Facility
RCF-2569R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095547
—
OH
Enumeration date
08/31/2010
Last updated
07/20/2020
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