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Organization
SUMMERVILLE AT LAKELAND, LLC
Active
Organization
SUMMERVILLE AT LAKELAND, LLC
Active
Other names
Brookdale Lakeland Hills
Organization subpart
No
Provider details
NPI number
Authorized official
MARK OHLENDORF (PRESIDENT/CEO)
(414) 918-5403
Entity
Organization
Contact information
Practice address
2111 LAKELAND HILLS BLVD., BROOKDALE LAKELAND HILLS, LAKELAND, FL 33803
(863) 688-1126
(863) 683-6800
Mailing address
6737 W WASHINGTON ST, SUITE 2300, ATTN: AR MEDICAID, MILWAUKEE, WI 53214
(206) 298-2909
(206) 301-4500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6107
FL
311500000X
Alzheimer Center (Dementia Center)
AL6107
FL
Other
Enumeration date
05/21/2007
Last updated
03/13/2015
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