Organization
SUMMERVILLE AT FOX RUN, LLC
Active
Parent organization
SUMMERVILLE SENIOR LIVING, INC
Other names
Summerville at Fox Run
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMERVILLE SENIOR LIVING, INC
Authorized official
NOELLE DIAZ BICKEL (LICENSING SPECIALIST)
(206) 298-2909
Entity
Organization
Contact information
Practice address
7800 DAYTON SPRINGFIELD RD, FAIRBORN, OH 45324-1997
(937) 864-1500
(937) 864-5628
Mailing address
3131 ELLIOTT AVE, SUITE 500, SEATTLE, WA 98121-1044
(206) 298-2909
(206) 301-4500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
2216R
OH
311500000X
Alzheimer Center (Dementia Center)
2216R
OH
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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