SUMMERVILLE AT OCALA WEST, LLC
Alzheimer Center
Ocala, Florida
Provider NPI: 1437369857
Organization Information:Organization Name: SUMMERVILLE AT OCALA WEST, LLC
Practice Location:
9070 SOUTHWEST 80TH AVENUE OCALA, FL 34481 US
Tel: 352-861-4444 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:
9070 SOUTHWEST 80TH AVENUE OCALA, FL 34481 US
Tel: 352-861-4444 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 | AL9441 |
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | FL | AL9441 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0078764-00 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin