Organization
SUMMERVILLE AT POTOMAC, INC
Active
Parent organization
SUMMERVILLE SENIOR LIVING, INC.
Other names
Summerville at Potomac
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
11215 SEVEN LOCKS RD, POTOMAC, MD 20854-3260
(301) 765-9198
(301) 765-9243
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
21AL026-F
MD
311500000X
Alzheimer Center (Dementia Center)
21AL026-F
MD
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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