Organization
EMERITUS CORPORATION
Active
Other names
Brookdale Southgate
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OHLENDORF (PRESIDENT/CEO)
(414) 918-5403
Entity
Organization
Contact information
Practice address
134 WEST 2025 SOUTH CIRCLE, SAINT GEORGE, UT 84770-8790
(435) 628-1117
(435) 628-1135
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
UT
Other
Enumeration date
07/29/2010
Last updated
05/14/2015
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