Organization
BREA DENVER, LLC
Active
Other names
Brookdale Pinehurst Park
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
3790 W QUINCY AVE, DENVER, CO 80236-3644
(303) 738-8500
(303) 738-8600
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
AL0230
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79559301
—
CO
Enumeration date
02/16/2007
Last updated
05/12/2016
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