Organization · Type 2 NPI

Summerville at Golden Pond, LLC

Assisted Living Facility · Bradenton, FL

NPI number 1629287420 Active

Practice location

450 67th Street North
Bradenton, FL 34209

Fax (941) 798-3521

Mailing address

6737 W Washington St Ste 2300
Milwaukee, WI 53214-5650

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility 310400000XNone listed
Assisted Living Facility Primary 310400000XAL4712 (FL)

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.

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About NPI 1629287420

Summerville at Golden Pond, LLC's National Provider Identifier is 1629287420, issued on May 21, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Bradenton, FL. The record was last updated on Jun 13, 2016.