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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