NPI | 1295936813 |
---|---|
Doing Business As | BROOKDALE EDDY POND WEST |
Entity Type | Organization |
Authorized Contact | BRYAN RICHARDSON EVP, Chief Admin. Officer 615-564-8131 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: MA EOEA Certificate ALF) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2016-06-06 |