Organization
EMERITUS CORPORATION
Active
Other names
Brookdale Southpointe Drive
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
23 SOUTHPOINTE DR, GREENVILLE, SC 29607-5956
(864) 675-0220
(864) 284-9936
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CRC-1335
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RC1335
—
SC
Enumeration date
04/16/2007
Last updated
05/17/2016
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