Organization
EMERITOL EVERGREEN LODGE LLC
Active
Parent organization
BROOKDALE SENIOR LIVING INC
Other names
Brookdale Federal Way
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOKDALE SENIOR LIVING INC
Authorized official
JOANNE K LESKOWICZ (SENIOR VICE PRESIDENT)
(414) 918-5000
Entity
Organization
Contact information
Practice address
31002 14TH AVE S, FEDERAL WAY, WA 98003-4712
(253) 941-0156
Mailing address
31002 14TH AVE S, FEDERAL WAY, WA 98003-4712
(253) 941-0156
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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