NPI 1063157626
991 Clyde Avenue Opco, LLC
Practice location
- Address
- 991 Clyde Ave, Santa Clara, CA 95054-1905
- Phone
- (724) 463-3570
Authorised official
- Name
- Avrohom Tress
- Title
- Executive Vice President
- Phone
- (310) 390-9506
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1063157626
- Entity type
- Organization
- NPI issued
- 28 Apr 2022
- Record last updated
- 29 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.