Organization
SUMMERVILLE 13, LLC
Active
Parent organization
SUMMERVILLE INVESTORS, LLC
Other names
Emeritus at Brookhurst
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMERVILLE INVESTORS, LLC
Authorized official
NOELLE DIAZ BICKEL (LICENSING SPECIALIST)
(206) 298-2909
Entity
Organization
Contact information
Practice address
15302 BROOKHURST ST, WESTMINSTER, CA 92683-7099
(714) 775-6775
(714) 839-1431
Mailing address
3131 ELLIOTT AVE, SUITE 500, SEATTLE, WA 98121-1044
(206) 298-2909
(206) 301-4500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
306002962
CA
311500000X
Alzheimer Center (Dementia Center)
306002962
CA
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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