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Organization
SUMMERS ASSISTED LIVING FACILITY
Active
Organization
SUMMERS ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA R DESMARTIN (ADMINISTRATOR)
(386) 466-0005
Entity
Organization
Contact information
Practice address
1225 SW GRANDVIEW ST, LAKE CITY, FL 32025-0740
(386) 466-0005
Mailing address
1225 SW GRANDVIEW ST, LAKE CITY, FL 32025-0740
(386) 466-0005
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693311400
—
FL
Enumeration date
03/12/2014
Last updated
03/12/2014
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