Organization
EMERITUS CORPORATION
Active
Other names
Brookdale Monmouth
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
504 GWINN ST E, MONMOUTH, OR 97361-1571
(503) 838-6850
(503) 838-6443
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
—
521962
—
OR
Enumeration date
07/26/2010
Last updated
05/16/2016
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