Brookdale Walla Walla
LBN: Emeritus Corporation
Brookdale Walla Walla is an health care organization with primary practice located at 1460 Dalles Military Road , Walla Walla WA 99362. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty.
Emeritus Corporation can be contacted via phone (509) 525-4990, or through Richardson, Bryan via phone (615) 564-8131.
Contact Information
Primary practice address
1460 Dalles Military Road
Walla Walla WA 99362
Phone: (509) 525-4990
Fax: (509) 522-0488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | BH 1097 | Washington |
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 2298 | Washington |
Profile Details
| NPI number | 1649308495 |
|---|---|
| LBN Legal business name | Emeritus Corporation |
| DBA Doing business as | Brookdale Walla Walla |
| Authorized official | Richardson, Bryan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jun 13th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649308495 | NPPES |
| Washington | MEDICAID | 630233 | |
| Washington | MEDICAID | 058105 |
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