Organization
SUMMERVILLE AT FAIRWOOD MANOR, LLC
Active
Parent organization
SUMMERVILLE AT COBBCO, INC.
Other names
Emeritus at Fairwood Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMERVILLE AT COBBCO, INC.
Authorized official
NOELLE BICKEL (LICENSING SPECIALIST)
(206) 298-2909
Entity
Organization
Contact information
Practice address
200 N DALE AVE, ANAHEIM, CA 92801-4897
(714) 761-5771
Mailing address
3131 ELLIOTT AVE STE 500, SEATTLE, WA 98121-1032
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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