# MARGUERITE TERRACE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** California PEO Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538159769
- **Authorized official:** MS. LORI MICHELLE APPLEBEE RN (DIRECTOR OF NURSING)
- **Authorized official phone:** (408) 729-2010

## Contact information

- **Practice address:** 10 KIRK AVE, SAN JOSE, CA 95127-2214
- **Practice address phone:** (408) 729-2000
- **Mailing address:** 10 KIRK AVE, SAN JOSE, CA 95127-2214
- **Mailing address phone:** (408) 729-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 10/27/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR18035F | — | CA |
