Organization
EMERITUS CORPORATION
Active
Other names
Emeritus at Olive Grove
Organization subpart
No
Provider details
NPI number
Authorized official
NOELLE DIAZ BICKEL (LICENSING SPECIALIST)
(206) 298-2909
Entity
Organization
Contact information
Practice address
3014 E INDIAN SCHOOL RD, PHOENIX, AZ 85016-6887
(602) 957-7021
(602) 957-0830
Mailing address
3131 ELLIOTT AVE, SUITE 500, SEATTLE, WA 98121-1044
(206) 298-2909
(206) 301-4500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALC-P-4752
AZ
310400000X
Assisted Living Facility
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ALC-4752
—
AZ
Enumeration date
05/03/2007
Last updated
05/03/2010
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