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Summerville 15, Llc
Assisted Living Facility in Boynton Beach, Florida
NPI 1790012482

Summerville 15, Llc is an Assisted Living Facility based in Milwaukee, FL. Summerville 15, Llc practices in Boynton Beach, FL. The NPI Number for Summerville 15, Llc is 1790012482 and holds a License No. AL9384 (Florida).

The current practice location address for Summerville 15, Llc is 8220 Jog Rd, Boynton Beach, FL and can be reached out via phone at 561-733-3200. You can also correspond with Summerville 15, Llc through the mailing address at 6737 W WASHINGTON ST, MILWAUKEE, WI - 53214-5647 (mailing address contact number: ).

Location: 8220 Jog Rd, Boynton Beach, FL, 53214-5647
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790012482
Provider Name
Summerville 15, Llc
Credential
Provider Entity Type
Organization
Address
8220 Jog Rd, Boynton Beach, FL, 53214-5647
Phone Number
561-733-3200
Fax Number
Provider Enumeration Date
11/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0118960-00 05 FL
institution
Provider Business Practice Location Address Details
Address
8220 Jog Rd
City
Boynton Beach
State
Florida
Zip
33472-2938
Phone Number
561-733-3200
Fax Number
person
Provider Business Mailing Address Details
Address
8220 Jog Rd
City
Boynton Beach
State
Florida
Zip
33472-2938
Phone Number
561-733-3200
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL9384 (Florida)
Definition
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.
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