# LIVE OAK ADULT DAY SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003165341
- **Authorized official:** MRS. COLLEEN HUDGEN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (408) 971-9363

## Contact information

- **Practice address:** 1147 MINNESOTA AVE, SAN JOSE, CA 95125-3324
- **Practice address phone:** (408) 971-9363
- **Practice address fax:** (408) 971-9079
- **Mailing address:** 1147 MINNESOTA AVE, SAN JOSE, CA 95125-3324
- **Mailing address phone:** (408) 971-9363
- **Mailing address fax:** (408) 971-9079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | 435200743 | CA | Yes |

## Other

- **Enumeration date:** 08/31/2012
- **Last updated:** 08/31/2012
