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Organization

PCP CLERMONT OPCO LLC

Active
Other names
Hunt Trace Senior Living
Organization subpart
No

Provider details

NPI number
Authorized official
SETH WALKER (CFO)
(850) 583-7990
Entity
Organization

Contact information

Practice address
1600 HUNT TRACE BLVD, CLERMONT, FL 34711-5184
(352) 268-9865
Mailing address
2573 BARRINGTON CIR, TALLAHASSEE, FL 32308-6805
(850) 583-7990

Taxonomy

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

Other

Enumeration date
04/01/2025
Last updated
04/01/2025
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