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Organization

EXTENDED CARE PORTFOLIO FLORIDA TENANT, LLC

Active
Other names
Pacifica Senior Living Carpenter's Creek
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY PLATTEN (MANAGER)
(850) 477-8998
Entity
Organization

Contact information

Practice address
5918 N DAVIS HWY, PENSACOLA, FL 32503-2050
(580) 477-8998
Mailing address
13770 58TH ST N, SUITE 312, CLEARWATER, FL 33760-3759
(727) 726-3980

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
08/01/2013
Last updated
08/01/2013
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