Organization
EMERITUS CORPORATION
Active
Other names
Brookdale Courtyard Puyallup
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE K LESKOWICZ (SENIOR VICE PRESIDENT)
(414) 918-5000
Entity
Organization
Contact information
Practice address
4610 6TH STREET PL SE, PUYALLUP, WA 98374-5791
(253) 841-9722
(253) 435-5466
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
632022
—
WA
Enumeration date
02/16/2007
Last updated
07/21/2020
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