Organization
SUMMERVILLE AT STAFFORD, LLC
Active
Other names
Brookdale Stafford
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN RICHARDSON (EVP, CHIEF ADMIN. OFFICER)
(615) 564-8131
Entity
Organization
Contact information
Practice address
1275 ROUTE 72 W, MANAHAWKIN, NJ 08050-2473
(609) 597-2500
(609) 597-9898
Mailing address
6737 W WASHINGTON ST STE 2300, MILWAUKEE, WI 53214-5650
(414) 918-5000
(206) 301-4500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
65A002
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8756902
—
NJ
Enumeration date
02/08/2007
Last updated
06/13/2016
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