# ISLAND CREEK HOLDINGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AVONDALE VILLA POST-ACUTE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255963781
- **Authorized official:** MYRNA DE GUZMAN (CORPORATE CONTROLLER)
- **Authorized official phone:** (760) 331-3177

## Contact information

- **Practice address:** 788 HOLMES ST, LIVERMORE, CA 94550-4229
- **Practice address phone:** (925) 447-2280
- **Mailing address:** 16885 W BERNARDO DR STE 216, SAN DIEGO, CA 92127-1620
- **Mailing address phone:** (760) 331-3177

## Taxonomy

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

## Other

- **Enumeration date:** 02/12/2020
- **Last updated:** 02/12/2020