SUMMERVILLE AT GOLDEN POND LLC NPI 1629287420

NPI Information

SUMMERVILLE AT GOLDEN POND, LLC is an assisted living facility in Bradenton, 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 GOLDEN POND, LLC NPI is 1629287420. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Palma Sola.

The provider's business location address is:

450 67TH STREET NORTH
BRADENTON, FL
ZIP 34209
Phone: (941) 794-5657
Fax: (941) 798-3521

The provider's authorized official is Byran 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 10D0935756 - 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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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