Organization
991 CLYDE AVENUE OPCO, LLC
Active
Other names
Santa Clara Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
AVROHOM TRESS (EXECUTIVE VICE PRESIDENT)
(310) 390-9506
Entity
Organization
Contact information
Practice address
991 CLYDE AVE, SANTA CLARA, CA 95054-1905
(724) 463-3570
Mailing address
991 CLYDE AVE, SANTA CLARA, CA 95054-1905
(408) 988-7667
(408) 643-8387
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
07/29/2024
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