Extended Care Portfolio Multistate Pool Tenant, LLC

NPI #1083884571 in Peoria, Arizona

Provider Information

NPI Number: 1083884571
Entity Type: Organization
Organization Name: Extended Care Portfolio Multistate Pool Tenant, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: HJ SIMS INVESTMENTS, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Mar 11, 2008
Last Updated: Mar 11, 2008

Practice Location

Address: 9045 W ATHENS ST
City: Peoria
State: Arizona
ZIP Code: 85382-8155
Phone: (623) 876-8300

Authorized Official

Name: MR. MICHAEL GARBERS
Title: VICE PRESIDENT, HJ SIMS INVESTMENTS
Phone: (407) 363-4493

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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