Organization
SUMMERVILLE AT COBBCO, INC.
Active
Other names
Brookdale Glendale
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8183
Entity
Organization
Contact information
Practice address
426 PIEDMONT AVE, GLENDALE, CA 91206-3448
(818) 246-7457
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
197602411
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376873257
DEVELOPOMENTAL DISABILITY - FRANK D LANTERMAN REGIONAL CENTER
CA
Enumeration date
12/28/2009
Last updated
05/12/2016
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