Organization
EMERITUS CORPORATION
Active
Other names
Brookdale Tanque Verde
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8183
Entity
Organization
Contact information
Practice address
9050 E TANQUE VERDE RD, TUCSON, AZ 85749-9577
(520) 749-9200
(520) 749-9600
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7869C
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016926
AZ AHCCCS
AZ
Enumeration date
01/22/2010
Last updated
05/12/2016
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