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Organization

SUMMERVILLE AT MENTOR LLC

Active
Parent organization
SUMMERVILLE SENIOR LIVING, INC.
Other names
Summerville at Mentor
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUMMERVILLE SENIOR LIVING, INC.
Authorized official
NOELLE DIAZ BICKEL (LICENSING SPECIALIST)
(206) 298-2909
Entity
Organization

Contact information

Practice address
5700 EMERALD CT, MENTOR, OH 44060-1870
(440) 354-5499
(440) 354-5422
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
2252R
OH
311500000X
Alzheimer Center (Dementia Center)
2252R
OH

Other

Enumeration date
10/23/2009
Last updated
10/23/2009
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