Santa Cruzidence Opco, LLC
NPI #1306369871 in Santa Cruz, California
Provider Information
- NPI Number
- 1306369871
- Entity Type
- Organization
- Organization Name
- Santa Cruzidence Opco, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 17, 2017
- Last Updated
- Aug 20, 2024
Practice Location
- Address
- 1115 CAPITOLA RD
- City
- Santa Cruz
- State
- California
- ZIP Code
- 95062-2844
- Phone
- (831) 475-4055
Authorized Official
- Name
- JOHN MITCHELL
- Title
- SECRETARY
- Phone
- (385) 988-3319
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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