Organization
EMERITUS CORPORATION
Active
Other names
Brookdale Brandon
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
700 SOUTH KINGS AVENUE, BRANDON, FL 33511
(813) 662-0255
(813) 662-9335
Mailing address
6737 W WASHINGTON ST STE 2300, MILWAUKEE, WI 53214-5650
(414) 918-5000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7656
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06868541-00
—
FL
05
—
686854100
—
FL
Enumeration date
04/26/2007
Last updated
06/13/2016
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