Nice Avenue LLC
NPI #1407243355 in Mentone, California
Provider Information
- NPI Number
- 1407243355
- Entity Type
- Organization
- Organization Name
- Nice Avenue LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 17, 2015
- Last Updated
- Dec 2, 2022
Practice Location
- Address
- 2278 NICE AVE
- City
- Mentone
- State
- California
- ZIP Code
- 92359-9655
- Phone
- (909) 794-1189
Authorized Official
- Name
- STEVEN R. POWELL
- Title
- PRESIDENT
- Phone
- (909) 457-2977
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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