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9A

91ST AVENUE OPERATIONS LLC

Skilled Nursing Facility

OIG CLEARNPI VERIFIED
Location
PHOENIX, AZ
Licensed since
2021
Rate
Federal identifiers
NPI registry number1659038719
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameYEHOSHUA SEIF
TitleMANAGER
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