Organization Name: | SUMMERVILLE 8, LLC |
NPI Number: | 1215267117 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NOELLE BICKEL (LICENSING SPECIALIST) |
Mailing Address: | 19850 Golden Springs Dr Walnut |
State: | CA US |
Postal Code: | 917893411 |
Phone Number: | 9095955030 |
Fax Number: | |
NPI Enumeration Date: | 12/28/2009 |
NPI Last Update Date: | 12/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311500000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Alzheimer Center (Dementia Center) |
Taxonomy Specialization: | |
Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |