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Organization
SSC SAN JOSE OPERATING COMPANY LP
Active
Organization
SSC SAN JOSE OPERATING COMPANY LP
Active
Other names
Courtyard Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization
Contact information
Practice address
340 NORTHLAKE DR, SAN JOSE, CA 95117-1251
(408) 249-0344
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
070000220
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LTC556351
PREVIOUS MEDICAID NUMBER
CA
05
—
LTC55635J
—
CA
Enumeration date
03/30/2007
Last updated
11/17/2020
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