Organization
EC OPCO TIMBERLIN PARC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY W FLEMING (CONTROLLER)
(971) 337-3922
Entity
Organization
Contact information
Practice address
7620 TIMBERLIN PARK BLVD, JACKSONVILLE, FL 32256-5407
(813) 960-5346
Mailing address
5885 MEADOWS RD STE 500, LAKE OSWEGO, OR 97035-8646
(971) 213-4234
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/22/2018
Last updated
03/12/2019
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