| NPI | 1104034412 |
|---|---|
| Doing Business As | EMERITUS AT LAKE RIDGE |
| Entity Type | Organization |
| Authorized Contact | NOELLE DIAZ Licensing Specialist 206-298-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: VA WLO-03-780) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: VA WLO-03-780) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2009-09-09 |