Organization
EXTENDED CARE PORTFOLIO FLORIDA TENANT, LLC
Active
Parent organization
EXTENDED CARE PORTFOLIOTENANT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXTENDED CARE PORTFOLIOTENANT, LLC
Authorized official
DEEPAK ISRANI (OWNER)
(619) 296-9000
Entity
Organization
Contact information
Practice address
4760 S JOG RD, GREENACRES, FL 33467-5119
(561) 434-0434
Mailing address
1775 HANCOCK ST STE 200, SAN DIEGO, CA 92110-2036
(619) 296-9000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AL9409
FL
310400000X
Assisted Living Facility
Primary
AL9666
FL
310400000X
Assisted Living Facility
AL99
FL
Other
Enumeration date
06/11/2013
Last updated
09/12/2025
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