SUMMERVILLE 9 LLC NPI 1609103308

NPI Information

SUMMERVILLE 9 LLC is an assisted living facility in Clearwater, 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 9 LLC NPI is 1609103308. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Beckett Lake.

The provider's business location address is:

2155 MONTCLAIR RD
CLEARWATER, FL
ZIP 33763-287
Phone: (727) 797-7257

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 10D1080675 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2009 and was last updated on 5/13/2016.

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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