SUMMERVILLE 2, LLC is an assisted living facility in La Porte, IN. The provider is 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. SUMMERVILLE 2, LLC NPI is 1790011765. The provider is registered as an organization entity type.
The provider Is Doing Business As Brentwood At Laporte.
The provider's business location address is:
2002 ANDREW AVE
LA PORTE, IN
ZIP 46350-545
Phone: (219) 325-1599
Fax: (219) 362-1682
The provider's authorized official is Noelle Diaz Bickel .
The authorized official title is Licensing Specialist and has the following contact phone number (206) 298-2909.
The CLIA number assigned to this NPI record is 15D0959639 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/27/2009 and was last updated on 10/27/2009.