7TH AVENUE CENTER LLC NPI 1629132089

NPI Information

7TH AVENUE CENTER, LLC is an intermediate care facility mental illness in Santa Cruz, CA. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. 7TH AVENUE CENTER, LLC NPI is 1629132089. The provider is registered as an organization entity type.

The provider's business location address is:

1171 7TH AVE
SANTA CRUZ, CA
ZIP 95062-714
Phone: (831) 420-0120
Fax: (831) 420-0136

The provider's authorized official is Ann M. Butler .
The authorized official title is President and has the following contact phone number (831) 420-0120.

The CLIA number assigned to this NPI record is 05D0726535 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 3/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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