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Organization
WE CARE ICF-DDH
Active
Organization
WE CARE ICF-DDH
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REYNALDO M QUEDADO (OWNER)
(408) 929-5580
Entity
Organization
Contact information
Practice address
2918 RONCO DR, SAN JOSE, CA 95132-2744
(408) 929-5580
(408) 926-5060
Mailing address
2918 RONCO DR, SAN JOSE, CA 95132-2744
(408) 929-5580
(408) 926-5060
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
LTC60921F
CA
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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