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Organization
SANTA CRUZ CORE FITNESS AND REHAB
Active
Organization
SANTA CRUZ CORE FITNESS AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAIMI ELLISON (OWNER)
(831) 425-9500
Entity
Organization
Contact information
Practice address
317 POTRERO ST, STE C, SANTA CRUZ, CA 95060-7610
(831) 425-9500
(831) 466-9156
Mailing address
317 POTRERO ST, STE C, SANTA CRUZ, CA 95060-7610
(831) 425-9500
(831) 466-9156
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
CA
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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