Organization · Type 2 NPI

Summerville at Port Orange, Inc.

Assisted Living Facility · Port Orange, FL

NPI number 1750545158 Active

Practice location

1675 Dunlawton Ave
Port Orange, FL 32127-4755

Call (386) 761-1055 Map

Fax (386) 761-4408

Mailing address

6737 W Washington St, Suite 2300
Milwaukee, WI 53214-5647

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL9792 (FL)
Alzheimer Center (Dementia Center) 311500000XNone listed

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.

13 other providers at this address

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About NPI 1750545158

Summerville at Port Orange, Inc.'s National Provider Identifier is 1750545158, issued on Jul 15, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Port Orange, FL. The record was last updated on May 13, 2016.