Organization Name: | SUMMERVILLE SENIOR LIVING LLC |
NPI Number: | 1174733653 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANA DE LA CERDA (DIRECTOR OF LICENSING) |
Mailing Address: | 1725 Pine Bark Point Oviedo |
State: | FL US |
Postal Code: | 32765 |
Phone Number: | 4079775250 |
Fax Number: | 4079777122 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | AL9525 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | FL |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |