Organization
EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC
Active
Parent organization
EXTENDED CARE PORTFOLIO TENANT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXTENDED CARE PORTFOLIO TENANT, LLC
Authorized official
MR. BRUCE SCHOEN (EX VP/CFO)
(503) 905-3347
Entity
Organization
Contact information
Practice address
2675 N WYATT DR, TUCSON, AZ 85712-6107
(520) 320-7505
Mailing address
1785 HANCOCK ST, SUITE 100, SAN DIEGO, CA 92110-2073
(619) 296-9000
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
AL6987C
AZ
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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