Organization
EMERITUS CORPORATION
Active
Parent organization
BROOKDALE SENIOR LIVING INC
Other names
Brookdale Buckingham
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
1824 MANCHESTER RD, GLASTONBURY, CT 06033-1832
(860) 647-1695
(860) 647-8549
Mailing address
1824 MANCHESTER RD, GLASTONBURY, CT 06033-1832
(860) 647-1695
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155
CT DEPT OF PUBLIC HEALTH
CT
05
—
8024243
—
CT
Enumeration date
07/28/2010
Last updated
07/17/2020
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