Organization
EMERITUS CORPORATION
Active
Other names
Brookdale Baywood
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
310 S 63RD ST, MESA, AZ 85206-6016
(480) 985-5778
(480) 854-4610
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
AZ
311500000X
Alzheimer Center (Dementia Center)
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
591748
—
AZ
Enumeration date
01/20/2011
Last updated
05/09/2016
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