Organization
PACIFICA AUGUSTINE ROAD LLC
Active
Other names
Wyndham Lakes A Pacifica Senior Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK ISRANI (MANAGING PARTNER)
(619) 296-9000
Entity
Organization
Contact information
Practice address
10660 OLD AUGUSTINE ROAD, JACKSONVILLE, FL 32257
(914) 262-4600
(904) 262-1939
Mailing address
1775 HANCOCK STREET, SUITE 200, SAN DIEGO, CA 92110
(619) 296-9000
(619) 296-9090
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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