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Organization

SUMMERVILLE AT HERITAGE PLACE, LLC

Active
Other names
Emeritus at Heritage Place
Organization subpart
No

Provider details

NPI number
Authorized official
NOELLE DIAZ (LICENSING SPECIALIST)
(206) 301-4060
Entity
Organization

Contact information

Practice address
355 W GRANT LINE RD, TRACY, CA 95376-2500
(209) 835-1000
Mailing address
3000 EXECUTIVE PKWY, SUITE 530, SAN RAMON, CA 94583-4255
(925) 866-1999
(925) 866-8468

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
397003261
CA
311500000X
Alzheimer Center (Dementia Center)
397003261
CA

Other

Enumeration date
06/05/2007
Last updated
09/10/2009
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