Summerville 2, LLC
NPI #1790011765 in La Porte, Indiana
Provider Information
- NPI Number
- 1790011765
- Entity Type
- Organization
- Organization Name
- Summerville 2, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SUMMERVILLE INVESTORS, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Oct 27, 2009
- Last Updated
- Oct 27, 2009
Practice Location
Authorized Official
- Name
- NOELLE DIAZ BICKEL
- Title
- LICENSING SPECIALIST
- Phone
- (206) 298-2909
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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