Summerville at Venice, LLC

NPI #1043429491 in Venice, Florida

Provider Information

NPI Number: 1043429491
Entity Type: Organization
Organization Name: Summerville at Venice, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SUMMERVILLE SENIOR LIVING, INC.
Primary Specialty: Assisted Living Facility
Enumeration Date: May 22, 2007
Last Updated: Jan 20, 2010

Practice Location

Address: 200 NASSAU ST N
City: Venice
State: Florida
ZIP Code: 34285-1772
Phone: (941) 485-2404

Authorized Official

Name: NOELLE DIAZ BICKEL
Title: LICENSING SPECIALIST
Phone: (206) 298-2909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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