Organization
SUMMER HILL ASSISTED LIVING, LLC
Active
Other names
SUMMER HILL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN B GOODMAN (CHIEF MANAGER)
(952) 361-8000
Entity
Organization
Contact information
Practice address
165 SW 6TH AVE, OAK HARBOR, WA 98277-2389
(360) 679-1400
(360) 675-2205
Mailing address
1107 HAZELTINE BLVD, SUITE 200, CHASKA, MN 55318-1009
(952) 361-8000
(952) 361-8058
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
BH1839
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
705314
—
WA
Enumeration date
11/01/2006
Last updated
08/22/2020
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