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Organization
EXTENDED CARE PORTFOLIO TENANT, LLC
Active
Organization
EXTENDED CARE PORTFOLIO TENANT, LLC
Active
Other names
Pacifica Senior Living Creekside
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY MYERS (MANAGER)
(727) 726-3980
Entity
Organization
Contact information
Practice address
9015 UNIVERSITY PKWY, PENSACOLA, FL 32514-5525
(850) 477-6400
Mailing address
13770 58TH ST N, SUITE 312, CLEARWATER, FL 33760-3759
(727) 726-3980
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
AL9068
FL
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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