Organization
PECAN TREE HOLDINGS, LLC
Active
Other names
Plantation Oaks Senior Living Residence
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. META B MCCLAIN (ED)
(386) 454-0801
Entity
Organization
Contact information
Practice address
201 NE 1ST AVE, HIGH SPRINGS, FL 32643-9444
(386) 454-0801
(386) 454-4436
Mailing address
201 NE 1ST AVE, HIGH SPRINGS, FL 32643-9444
(386) 454-0801
(386) 454-4436
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11967
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003409700
—
FL
Enumeration date
04/10/2013
Last updated
04/10/2013
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