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Organization
LINCOLN GLEN SKILLED NURSING FACILITY
Active
Organization
LINCOLN GLEN SKILLED NURSING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BRADLEY MORTENSEN LNHA (EXECUTIVE DIRECTOR)
(408) 757-8580
Entity
Organization
Contact information
Practice address
2671 PLUMMER AVE, SAN JOSE, CA 95125-4867
(408) 265-3222
(408) 448-1533
Mailing address
2671 PLUMMER AVE, SAN JOSE, CA 95125-4867
(408) 265-3222
(408) 448-1533
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
31400000X
CA
Other
Enumeration date
10/20/2005
Last updated
12/13/2024
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