# SANTA CRUZ CORE FITNESS AND REHAB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942585153
- **Authorized official:** MS. JAIMI ELLISON (OWNER)
- **Authorized official phone:** (831) 425-9500

## Contact information

- **Practice address:** 317 POTRERO ST, STE C, SANTA CRUZ, CA 95060-7610
- **Practice address phone:** (831) 425-9500
- **Practice address fax:** (831) 466-9156
- **Mailing address:** 317 POTRERO ST, STE C, SANTA CRUZ, CA 95060-7610
- **Mailing address phone:** (831) 425-9500
- **Mailing address fax:** (831) 466-9156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | CA | Yes |

## Other

- **Enumeration date:** 10/19/2011
- **Last updated:** 10/19/2011