Organization
SUMMERPLACE COMMUNITY HEALTHCARE LLC
Active
Other names
Summerplace Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MITCHELL (SECRETARY)
(801) 447-9829
Entity
Organization
Contact information
Practice address
15727 NE RUSSELL ST, PORTLAND, OR 97230-8222
(503) 252-9361
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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