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Organization
SILVER PUNZALAN II INC
Active
Organization
SILVER PUNZALAN II INC
Active
Other names
SILVER STAR ICF/DDN
Organization subpart
No
Provider details
NPI number
Authorized official
FE O PUNZALAN RNC,PHN,MSN (ADMINISTRATOR)
(408) 592-6183
Entity
Organization
Contact information
Practice address
2928 SILVER EST, SAN JOSE, CA 95135-1234
(408) 592-6183
Mailing address
2928 SILVER EST, SAN JOSE, CA 95135-1234
(408) 592-6183
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
550000428
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55G596
CCN
CA
Enumeration date
07/12/2008
Last updated
07/12/2008
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