Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareSUMMERVILLE 16, LLC
Alzheimer Center
Jensen Beach, Florida
Provider NPI: 1447427703
Organization Information:Organization Name: SUMMERVILLE 16, LLC
Practice Location:
1700 NE INDIAN RIVER DR JENSEN BEACH, FL 34957 US
Tel: 772-225-1355 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1700 NE INDIAN RIVER DR JENSEN BEACH, FL 34957 US
Tel: 772-225-1355 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | FL | AL9294 |
| Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | FL | AL9294 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 0118952-00 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin