| NPI | 1841528528 |
|---|---|
| Doing Business As | SUMMERVILLE AT POTOMAC |
| Entity Type | Organization |
| Authorized Contact | NOELLE DIAZ BICKEL Licensing Specialist 206-298-2909 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 21AL026-F) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: MD 21AL026-F) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |