Emeritol Evergreen Lodge LLC
Assisted Living Facility in Federal Way, WA. Organization (NPI-2).
NPI number1710545371
StatusActive
Last updated in NPPESMay 30, 2019
Details
- NPI
- 1710545371
- Entity type
- Organization (NPI-2)
- Legal business name
- Emeritol Evergreen Lodge LLC
- Organization subpart
- Yes
- Enumeration date
- May 30, 2019
- Last updated
- May 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Other names
- Brookdale Federal Way (Doing Business As)
Practice location
31002 14th Ave SFederal Way, WA 98003-4712
Phone 253-941-0156
Mailing address
31002 14th Ave SFederal Way, WA 98003-4712
Phone 253-941-0156
Authorized official
Joanne K Leskowicz
Senior Vice President
4149185000
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