Organization
LIVE OAK ADULT DAY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN HUDGEN (EXECUTIVE DIRECTOR)
(408) 971-9363
Entity
Organization
Contact information
Practice address
1147 MINNESOTA AVE, SAN JOSE, CA 95125-3324
(408) 971-9363
(408) 971-9079
Mailing address
1147 MINNESOTA AVE, SAN JOSE, CA 95125-3324
(408) 971-9363
(408) 971-9079
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
435200743
CA
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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