Organization · Type 2 NPI
Summerville at Cobbco, Inc.
Adult Care Home Facility · San Pablo, CA
NPI number
1578892980
Active
Practice location
13956 San Pablo Ave
San Pablo, CA 94806-5313
Mailing address
6737 W Washington St, Suite 2300
Milwaukee, WI 53214-5647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 075600298 (CA) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
About NPI 1578892980
Summerville at Cobbco, Inc.'s National Provider Identifier is 1578892980, issued on Dec 14, 2009. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in San Pablo, CA. The record was last updated on May 12, 2016.