Organization
EMERITUS CORPORATION
Active
Other names
Brookdale Ocean Shores
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
1020 CATALA AVENUE SOUTHEAST, BROOKDALE OCEAN SHORES, OCEAN SHORES, WA 98569
(360) 289-9663
(360) 289-9937
Mailing address
6737 W WASHINGTON ST, SUITE 2300 ATTN: AR MEDICAID, MILWAUKEE, WI 53214
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2264
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290548
—
WA
Enumeration date
02/26/2007
Last updated
05/19/2016
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