# EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EXTENDED CARE PORTFOLIO TENANT, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760814727
- **Legal business name:** EXTENDED CARE PORTFOLIO TENANT, LLC
- **Authorized official:** MR. BRUCE SCHOEN (EX VP/CFO)
- **Authorized official phone:** (503) 905-3347

## Contact information

- **Practice address:** 2675 N WYATT DR, TUCSON, AZ 85712-6107
- **Practice address phone:** (520) 320-7505
- **Mailing address:** 1785 HANCOCK ST, SUITE 100, SAN DIEGO, CA 92110-2073
- **Mailing address phone:** (619) 296-9000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | AL6987C | AZ | Yes |

## Other

- **Enumeration date:** 08/01/2013
- **Last updated:** 08/01/2013