NPI 1760814727

Extended Care Portfolio Multistate Pool Tenant, LLC

Organisation Alzheimer Center (Dementia Center) Tucson, AZ

Practice location

Address: 2675 N Wyatt Dr, Tucson, AZ 85712-6107
Phone: (520) 320-7505
Mailing address: 1785 Hancock St Suite 100, San Diego, CA 92110-2073

Authorised official

Name: Bruce Schoen
Title: Ex Vp/Cfo
Phone: (503) 905-3347

Registered specialties

Alzheimer Center (Dementia Center) Primary

Nursing & Custodial Care Facilities Taxonomy 311500000X Licence AL6987C (AZ)

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Registry record

NPI: 1760814727
Entity type: Organization
NPI issued: 1 Aug 2013
Record last updated: 1 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.