Extended Care Portfolio Florida Tenant, LLC

NPI #1255763256 in Pensacola, Florida

Provider Information

NPI Number: 1255763256
Entity Type: Organization
Organization Name: Extended Care Portfolio Florida Tenant, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Aug 1, 2013
Last Updated: Aug 1, 2013

Practice Location

Address: 5918 N DAVIS HWY
City: Pensacola
State: Florida
ZIP Code: 32503-2050
Phone: (580) 477-8998

Authorized Official

Name: NANCY PLATTEN
Title: MANAGER
Phone: (850) 477-8998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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