Organization
EMERITUS CORPORATION
Active
Other names
Brookdale Walla Walla
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
1460 DALLES MILITARY ROAD, WALLA WALLA, WA 99362
(509) 525-4990
(509) 522-0488
Mailing address
6737 W WASHINGTON ST STE 2300, MILWAUKEE, WI 53214-5650
(414) 918-5000
(206) 301-4500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2298
WA
310400000X
Assisted Living Facility
BH 1097
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058105
—
WA
05
—
630233
—
WA
Enumeration date
03/02/2007
Last updated
06/13/2016
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