Organization · Type 2 NPI

Summerville at Cobbco, Inc.

Assisted Living Facility · Fairfield, CA

NPI number 1780913582 Active

Practice location

1095 E Tabor Ave
Fairfield, CA 94533-4190

Call (707) 422-1565 Map

Mailing address

3131 Elliott Ave Ste 500
Seattle, WA 98121-1032

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	486800641 (CA)
Alzheimer Center (Dementia Center)	311500000X	486800641 (CA)

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.

10 other providers at this address

Other assisted living facility providers in Fairfield

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NPI record

NPI: 1780913582
Entity type: Organization (Type 2)
Issued: Dec 8, 2009
Last updated: Dec 8, 2009
Status: Active
Subpart: Yes of Summerville Senior Living, Inc.

Other names

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Emeritus at Westwind Gardens · doing business as

Authorized official

Noelle Bickel
Licensing Specialist
(206) 298-2909

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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 1780913582

Summerville at Cobbco, Inc.'s National Provider Identifier is 1780913582, issued on Dec 8, 2009. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fairfield, CA. The record was last updated on Dec 8, 2009.