SUMMERVILLE AT OAK PARK LLC NPI 1023227865

NPI Information

SUMMERVILLE AT OAK PARK, LLC is an assisted living facility in Clermont, FL. The provider is 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. SUMMERVILLE AT OAK PARK, LLC NPI is 1023227865. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Clermont.

The provider's business location address is:

650 EAST MINNEHAHA AVENUE
CLERMONT, FL
ZIP 34711
Phone: (352) 241-0844
Fax: (352) 241-9088

The provider's authorized official is Bryan Richardson .
The authorized official title is Evp, Chief Admin. Officer and has the following contact phone number (615) 564-8131.

The CLIA number assigned to this NPI record is 10D1029626 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 6/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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