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Summerville At St. Augustine, Llc
Assisted Living Facility in St Augustine, Florida
NPI 1902132749

Summerville At St. Augustine, Llc is an Assisted Living Facility based in St Augustine, FL. Summerville At St. Augustine, Llc practices in St Augustine, FL. The NPI Number for Summerville At St. Augustine, Llc is 1902132749 and holds a License No. AL9908 (Florida).

The current practice location address for Summerville At St. Augustine, Llc is 150 Mariner Health Way, St Augustine, FL and can be reached out via phone at 904-794-9988.

Location: 150 Mariner Health Way, St Augustine, FL, 32086-3215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902132749
Provider Name
Summerville At St. Augustine, Llc
Credential
Provider Entity Type
Organization
Address
150 Mariner Health Way, St Augustine, FL, 32086-3215
Phone Number
904-794-9988
Fax Number
Provider Enumeration Date
10/29/2009
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
0124330-00 05 FL
institution
Provider Business Practice Location Address Details
Address
150 Mariner Health Way
City
St Augustine
State
Florida
Zip
32086-3215
Phone Number
904-794-9988
Fax Number
person
Provider Business Mailing Address Details
Address
150 Mariner Health Way
City
St Augustine
State
Florida
Zip
32086-3215
Phone Number
904-794-9988
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
AL9908 (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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