Plantation Oaks Senior Living Residence

LBN: Pecan Tree Holdings, Llc
Plantation Oaks Senior Living Residence is an health care organization with primary practice located at 201 Ne 1St Ave , High Springs FL 32643-9444. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Pecan Tree Holdings, Llc can be contacted via phone (386) 454-0801, or through Mcclain, Meta B via phone (386) 454-0801.

Contact Information

Primary practice address
201 Ne 1St Ave High Springs FL 32643-9444
Phone: (386) 454-0801
Fax: (386) 454-4436
Website:
Map and Directions
Authorized official contact:
Name: Mcclain, Meta B
Phone: (386) 454-0801

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL11967 Florida

Profile Details

NPI number 1851734768
LBN Legal business name Pecan Tree Holdings, Llc
DBA Doing business as Plantation Oaks Senior Living Residence
Authorized official Mcclain, Meta B
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2013
Last updated Apr 10th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851734768 NPPES
Florida MEDICAID 003409700

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