# SUMMERVILLE AT COBBCO, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brookdale San Pablo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578892980
- **Authorized official:** BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
- **Authorized official phone:** (615) 564-8131

## Contact information

- **Practice address:** 13956 SAN PABLO AVE, SAN PABLO, CA 94806-5313
- **Practice address phone:** (510) 236-1444
- **Mailing address:** 6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 075600298 | CA | Yes |

## Other

- **Enumeration date:** 12/14/2009
- **Last updated:** 05/12/2016