# NICE AVENUE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mill Creek Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407243355
- **Authorized official:** STEVEN R. POWELL (PRESIDENT)
- **Authorized official phone:** (909) 457-2977

## Contact information

- **Practice address:** 2278 NICE AVE, MENTONE, CA 92359-9655
- **Practice address phone:** (909) 794-1189
- **Mailing address:** 2278 NICE AVE, MENTONE, CA 92359-9655
- **Mailing address phone:** (909) 794-1189

## Taxonomy

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

## Other

- **Enumeration date:** 04/17/2015
- **Last updated:** 12/02/2022