Organization
SUMMERVILLE AT COBBCO, INC.
Active
Other names
Brookdale San Pablo
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
13956 SAN PABLO AVE, SAN PABLO, CA 94806-5313
(510) 236-1444
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
075600298
CA
Other
Enumeration date
12/14/2009
Last updated
05/12/2016
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