NPI | 1164559282 |
---|---|
Doing Business As | SUMMERPLACE ASSISTED LIVING COMMUNITY |
Entity Type | Organization |
Authorized Contact | GREGORY J VISLOCKY Managing Member 360-735-7155 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2007-02-27 |
Last Update Date | 2020-08-22 |