Organization
LINCOLN GLEN SKILLED NURSING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BRADLEY MORTENSEN LNHA (EXECUTIVE DIRECTOR)
(408) 757-8580
Entity
Organization
Contact information
Practice address
2671 PLUMMER AVE, SAN JOSE, CA 95125-4867
(408) 265-3222
(408) 448-1533
Mailing address
2671 PLUMMER AVE, SAN JOSE, CA 95125-4867
(408) 265-3222
(408) 448-1533
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
31400000X
CA
Other
Enumeration date
10/20/2005
Last updated
12/13/2024
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