Organization · Type 2 NPI

Summerville at St. Augustine, LLC

Assisted Living Facility · St. Augustine, FL

NPI number 1902132749 Active

Practice location

150 Mariner Health Way
St. Augustine, FL 32086-3215

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL9908 (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 1902132749

Summerville at St. Augustine, LLC's National Provider Identifier is 1902132749, issued on Oct 29, 2009. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in St. Augustine, FL. The record was last updated on Sep 30, 2024.