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Organization
SUMMERVILLE AT COBBCO, INC.
Active
Organization
SUMMERVILLE AT COBBCO, INC.
Active
Other names
Brookdale San Pablo
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
13956 SAN PABLO AVE, SAN PABLO, CA 94806-5313
(510) 236-1444
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
075600298
CA
Other
Enumeration date
12/14/2009
Last updated
05/12/2016
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