Organization
MCR CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSCAR ILUSORIO (VICE PRESIDENT)
(408) 205-5975
Entity
Organization
Contact information
Practice address
2223 GOLDEN DEW CIR, SAN JOSE, CA 95121-1441
(408) 205-5975
Mailing address
2223 GOLDEN DEW CIRCLE, SAN JOSE, CA 95121
(408) 205-5975
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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