Organization
EMERITUS CORPORATION
Active
Parent organization
BROOKDALE SENIOR LIVING INC
Other names
Brookdale Echelon Lake
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
207 LAUREL ROAD, VOORHEES, NJ 08043
(856) 772-9400
(856) 772-3769
Mailing address
6737 W WASHINGTON ST STE 2300, MILWAUKEE, WI 53214-5650
(414) 918-5000
(206) 298-2909
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
20A001
NJ
310400000X
Assisted Living Facility
Primary
SIPFEP
NJ
311500000X
Alzheimer Center (Dementia Center)
SIPFEP
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8712409
—
NJ
Enumeration date
03/26/2007
Last updated
07/20/2020
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