991 Clyde Avenue Opco, LLC
NPI #1063157626 in Santa Clara, California
Provider Information
- NPI Number
- 1063157626
- Entity Type
- Organization
- Organization Name
- 991 Clyde Avenue Opco, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 28, 2022
- Last Updated
- Jul 29, 2024
Practice Location
- Address
- 991 CLYDE AVE
- City
- Santa Clara
- State
- California
- ZIP Code
- 95054-1905
- Phone
- (724) 463-3570
Authorized Official
- Name
- AVROHOM TRESS
- Title
- EXECUTIVE VICE PRESIDENT
- Phone
- (310) 390-9506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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