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Organization
SUMMERVILLE AT CLEARWATER LLC
Active
Organization
SUMMERVILLE AT CLEARWATER LLC
Active
Other names
Brookdale Clearwater
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
2750 DREW STREET, CLEARWATER, FL 33759
(727) 799-2177
(727) 726-4145
Mailing address
6737 W WASHINGTON ST STE 2300, MILWAUKEE, WI 53214-5650
(414) 918-5000
(925) 866-8468
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6670
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110369-00
—
FL
Enumeration date
05/24/2007
Last updated
06/13/2016
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