Organization · Type 2 NPI

Summerville at Fox Run, LLC

Assisted Living Facility · Fairborn, OH

NPI number 1497082945 Active

Practice location

7800 Dayton Springfield Rd
Fairborn, OH 45324-1997

Call (937) 864-1500 Map

Fax (937) 864-5628

Mailing address

3131 Elliott Ave, Suite 500
Seattle, WA 98121-1044

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	2216R (OH)
Alzheimer Center (Dementia Center)	311500000X	2216R (OH)

Assisted Living Facility: 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.

7 other providers at this address

Other assisted living facility providers in Fairborn

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NPI record

NPI: 1497082945
Entity type: Organization (Type 2)
Issued: Nov 4, 2009
Last updated: Nov 4, 2009
Status: Active
Subpart: Yes of Summerville Senior Living, Inc

Other names

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Summerville at Fox Run · doing business as

Authorized official

Noelle Diaz Bickel
Licensing Specialist
(206) 298-2909

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497082945

Summerville at Fox Run, LLC's National Provider Identifier is 1497082945, issued on Nov 4, 2009. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fairborn, OH. The record was last updated on Nov 4, 2009.