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Organization
SUMMERVILLE 15, LLC
Active
Organization
SUMMERVILLE 15, LLC
Active
Other names
Brookdale West Boynton Beach
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
8220 JOG RD, BOYNTON BEACH, FL 33472-2938
(561) 733-3200
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9384
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118960-00
—
FL
Enumeration date
11/17/2009
Last updated
05/13/2016
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