Organization
EXTENDED CARE PORTFOLIO FLORIDA TENANT LLC
Active
Other names
Pacifica Senior Living Fort Myers
Organization subpart
No
Provider details
NPI number
Authorized official
DEPAK ISRANI (GENERAL MANAGER)
(619) 296-9000
Entity
Organization
Contact information
Practice address
9461 HEALTHPARK CIR, FORT MYERS, FL 33908-3614
(239) 437-5511
(239) 437-2826
Mailing address
1775 HANCOCK ST, SUITE 200, SAN DIEGO, CA 92110-2034
(619) 296-9000
(619) 296-9090
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9346
FL
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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