Organization
BREA SMYRNA LLC
Active
Parent organization
BREA EMERITUS LLC
Other names
Court at Vinings Place
Organization subpart
Yes
Provider details
NPI number
Legal business name
BREA EMERITUS LLC
Authorized official
NOELLE BICKEL (LICENSING SPECIALIST)
(206) 298-2909
Entity
Organization
Contact information
Practice address
4375 BEECH HAVEN TRL SE, SMYRNA, GA 30080-6601
(770) 803-0100
Mailing address
3131 ELLIOTT AVE STE 500, SEATTLE, WA 98121-1032
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
033-03-022-1
GA
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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