Provider Demographics
NPI:1841057080
Name:ARCILLA INVESTMENTS INC.
Entity type:Organization
Organization Name:ARCILLA INVESTMENTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-471-8236
Mailing Address - Street 1:2266 CHANTICLEER AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-1836
Mailing Address - Country:US
Mailing Address - Phone:831-471-8236
Mailing Address - Fax:831-722-2982
Practice Address - Street 1:1340 17TH AVE
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-3021
Practice Address - Country:US
Practice Address - Phone:831-600-8376
Practice Address - Fax:831-480-5870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility