MEDICARE: EMERITUS CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility		MT

General Provider Information

NPI Number	:	1699089052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERITUS CORPORATION

Provider Business Mailing Address
First Line	:	3131 ELLIOTT AVE
Second Line	:	SUITE 500
City	:	SEATTLE
State	:	WA
Zip	:	98121-1031
Country	:	US
Telephone Number	:	206-298-1909
Fax Number	:	206-301-4500

Provider Business Practice Location Address
First Line	:	1104 6TH AVE N
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-1583
Country	:	US
Telephone Number	:	406-727-0447
Fax Number	:	406-727-9965

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT
Name	:	MRS. MELANIE WERDEL
Credential	:
Telephone Number	:	206-298-2909

Provider Enumeration Date	:	07/27/2010
Last Update Date	:	07/27/2010

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Directions to “EMERITUS CORPORATION ” Practice Location

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