Organization
SUMMERVILLE 2, LLC
Active
Parent organization
SUMMERVILLE INVESTORS, LLC
Other names
Brentwood at Hobart
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMERVILLE INVESTORS, LLC
Authorized official
NOELLE DIAZ BICKEL (LICENSING SPECIALIST)
(206) 298-2909
Entity
Organization
Contact information
Practice address
1147 SOUTH 3RD STREET, HOBART, IN 46342-4956
(219) 945-1968
(219) 945-1219
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
07-010890-1
IN
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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