Organization
SUMMERVILLE 4, LLC
Active
Other names
Brookdale Cape Cod
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
790 FALMOUTH ROAD, HYANNIS, MA 02601
(508) 790-7666
(508) 790-7667
Mailing address
6737 W WASHINGTON ST STE 2300, MILWAUKEE, WI 53214-5650
(414) 918-5000
(206) 357-7292
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10612
—
MA
05
—
1905899
—
MA
Enumeration date
04/02/2007
Last updated
06/06/2016
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