EXTENDED CARE PORTFOLIO FLORIDA TENANT, LLC
Nursing at Jog Rd, West Palm Beach, FL

License number
Florida AL9666
Category
Nursing
Type
Assisted Living Facility
License number
Florida AL9409
Category
Nursing
Type
Assisted Living Facility
License number
Florida AL99
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MRS. BONNIE WILLIAMSON
Title: OPERATIONS MANAGER
Phone: (727) 726-3980
Address
Address 2
4760 S Jog Rd, West Palm Beach, FL 33467
1785 Hancock St SUITE 100, San Diego, CA 92110
National Provider ID: 1184062259
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EXTENDED CARE PORTFOLIO FLORIDA TENANT, LLC

San Diego, CA  -  Southport, CT

Registration:
Jun 29, 2007
Addresses:
1775 Hancock St SUITE 200, San Diego, CA 92110 (Physical)
3530 Post Rd, Southport, CT 06890
State ID:
M07000003966
Business type:
Foreign Limited Liability Company
Entity State:
DE
Managers:
Extended Care Portfolio Tenant, Llc (Managing Member), 1775 Hancock St, San Diego, CA 92110 (Physical),Alan D. Parrish Manager, inactive
Agent:
Paracorp Incorporated,155 Office Plz Dr, Tallahassee, FL 32301 (Physical)
EIN:
260414949

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