Organization
SUMMERVILLE AT COBBCO, INC.
Active
Parent organization
SUMMERVILLE SENIOR LIVING, INC.
Other names
Emeritus at Westwind Gardens
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMERVILLE SENIOR LIVING, INC.
Authorized official
NOELLE BICKEL (LICENSING SPECIALIST)
(206) 298-2909
Entity
Organization
Contact information
Practice address
1095 E TABOR AVE, FAIRFIELD, CA 94533-4190
(707) 422-1565
Mailing address
3131 ELLIOTT AVE STE 500, SEATTLE, WA 98121-1032
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
486800641
CA
311500000X
Alzheimer Center (Dementia Center)
486800641
CA
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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