Organization
EMERITUS CORPORATION
Active
Other names
Brookdale Grants Pass Village
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OHLENDORF (PRESIDENT/CEO)
(414) 918-5403
Entity
Organization
Contact information
Practice address
1420 REDWOOD CIR, GRANTS PASS, OR 97527-5536
(541) 474-0200
(541) 472-8478
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
521954
—
OR
Enumeration date
07/29/2010
Last updated
02/18/2015
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