Organization
LOAVES & FISHES FAMILY KITCHEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HOTT (CHIEF EXECUTIVE OFFICER)
(408) 922-9284
Entity
Organization
Contact information
Practice address
46 RACE ST, SAN JOSE, CA 95126
(408) 961-9850
Mailing address
1500 BERGER DR, SAN JOSE, CA 95112
(408) 922-9085
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251K00000X
Public Health or Welfare Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
332U00000X
Home Delivered Meals
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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