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Organization

EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT LLC

Active
Other names
Pacifica Senior Living Paradise Valley
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DEEPAK ISRANI (MANAGER)
(619) 296-9000
Entity
Organization

Contact information

Practice address
16621 N 38TH ST, PHOENIX, AZ 85032-2102
(602) 787-0800
(602) 787-0531
Mailing address
1775 HANCOCK ST STE 200, SAN DIEGO, CA 92110-2036
(619) 296-9000
(619) 296-9090

Taxonomy

Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
AL6981C
AZ

Other

Enumeration date
08/27/2014
Last updated
09/12/2025
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