# SUMMIT LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114843679
- **Authorized official:** THOMAS K PADDOCK (OWNER)
- **Authorized official phone:** (845) 325-6179

## Contact information

- **Practice address:** 4341 34TH ST S APT 850, ST PETERSBURG, FL 33711-4593
- **Practice address phone:** (845) 325-6179
- **Mailing address:** 4341 34TH ST S APT 850, ST PETERSBURG, FL 33711-4593
- **Mailing address phone:** (845) 325-6179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/27/2026
- **Last updated:** 06/27/2026