Organization · Type 2 NPI

Petit Ave Inc.

Nursing Facility/Intermediate Care Facility · Winnetka, CA

NPI number 1669965349 Active

Practice location

6719 Quakertown Ave
Winnetka, CA 91306-4336

Fax (818) 435-3079

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000XNone listed

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1669965349

Petit Ave Inc.'s National Provider Identifier is 1669965349, issued on Jun 7, 2018. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Winnetka, CA. The record was last updated on Jun 25, 2019.