# 991 CLYDE AVENUE OPCO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Santa Clara Post Acute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063157626
- **Authorized official:** AVROHOM TRESS (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (310) 390-9506

## Contact information

- **Practice address:** 991 CLYDE AVE, SANTA CLARA, CA 95054-1905
- **Practice address phone:** (724) 463-3570
- **Mailing address:** 991 CLYDE AVE, SANTA CLARA, CA 95054-1905
- **Mailing address phone:** (408) 988-7667
- **Mailing address fax:** (408) 643-8387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 04/28/2022
- **Last updated:** 07/29/2024