<Unavail>

LBN: Summerville 17, Llc
<Unavail> is an health care organization with primary practice located at 2403 W Hillsboro Blvd , Deerfield Beach FL 33442-8507. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Summerville 17, Llc can be contacted via phone (954) 426-3800, or through Richardson, Bryan via phone (615) 564-8131.

Contact Information

Primary practice address
2403 W Hillsboro Blvd Deerfield Beach FL 33442-8507
Phone: (954) 426-3800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Bryan
Phone: (615) 564-8131

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL9401 Florida

Profile Details

NPI number 1205163995
LBN Legal business name Summerville 17, Llc
DBA Doing business as <Unavail>
Authorized official Richardson, Bryan
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2009
Last updated May 13th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205163995 NPPES
Florida MEDICAID 0122941-00

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