Organization
EMERITUS CORPORATION
Active
Other names
Emeritus at Forrest Park
Organization subpart
No
Provider details
NPI number
Authorized official
NOELLE DIAZ (LICENSING SPECIALIST)
(206) 298-2909
Entity
Organization
Contact information
Practice address
103 FOX CHASE DR, HATTIESBURG, MS 39402-2575
(601) 271-2177
(601) 271-2411
Mailing address
3131 ELLIOTT AVE, SUITE 500, SEATTLE, WA 98121-1044
(206) 298-2909
(206) 301-4500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
882
MS
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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