Pcp Lakeshore Drive Opco LLC
NPI #1164103883 in Tallahassee, Florida
Provider Information
- NPI Number
- 1164103883
- Entity Type
- Organization
- Organization Name
- Pcp Lakeshore Drive Opco LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 26, 2023
- Last Updated
- Jul 26, 2023
Practice Location
- Address
- 2516 LAKESHORE DR
- City
- Tallahassee
- State
- Florida
- ZIP Code
- 32312-2104
- Phone
- (850) 616-6253
Authorized Official
- Name
- SETH WALKER
- Title
- CFO, SRIM
- Phone
- (850) 583-7990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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