3067 Orange Avenue Llc in - Skilled Nursing Facility

3067 Orange Avenue Llc - NPI 1568457299

3067 Orange Avenue Llc is a Skilled Nursing Facility in , . 3067 Orange Avenue Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for 3067 Orange Avenue Llc is 1568457299. The last update date is 2020-08-22.

3067 Orange Avenue Llc's current location address is , , . You can contact this provider via phone number . The mailing address for 3067 Orange Avenue Llc is , , . To know further, please read the information below!

Provider Profile Detail

Provider Organization 3067 Orange Avenue Llc
Address , ,
Phone Number
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Boyer L Caroline
Telephone Number 8183679546

NPI Number Detail

NPI Number 1568457299
Provider Enumeration Date 2005-09-19
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address
City
State ()
Post Code
Phone Number
Fax Number

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LTC55445H CA --

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FAQs about 3067 Orange Avenue Llc

What is the 3067 Orange Avenue Llc's unique identification number?

The 3067 Orange Avenue Llc has been assigned the NPI (National Provider Identifier) Number 1568457299 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of 3067 Orange Avenue Llc?

The 3067 Orange Avenue Llc is physically situated at , in the city of , state of , with the postal code .

What is 3067 Orange Avenue Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The 3067 Orange Avenue Llc's area of specialization is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this field of practice is 314000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1568457299 to 3067 Orange Avenue Llc?

The Centers for Medicare & Medicaid Services assigned the 1568457299 to 3067 Orange Avenue Llc on 2005-09-19.

When was the 3067 Orange Avenue Llc's information last updated?

The 3067 Orange Avenue Llc's information was last updated on 2020-08-22.

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