# EMMANUEL HEALTHCARE SOUTH BAY, INC.

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

## Provider details

- **NPI number:** 1609321108
- **Authorized official:** MR. ANDREW T JAVELLANA (ADMINISTRATOR)
- **Authorized official phone:** (408) 684-4327

## Contact information

- **Practice address:** 800 CHARCOT AVE, STE 113, SAN JOSE, CA 95131-2211
- **Practice address phone:** (408) 684-4327
- **Practice address fax:** (408) 684-4329
- **Mailing address:** 800 CHARCOT AVE, STE 113, SAN JOSE, CA 95131-2211
- **Mailing address phone:** (408) 684-4327
- **Mailing address fax:** (408) 684-4329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2016
- **Last updated:** 08/24/2016