Organization
GHC OF SAN JOSE, LLC
Active
Other names
Vista Manor Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS MASTROCOLA (CHIEF FINANCIAL OFFICER)
(714) 241-5600
Entity
Organization
Contact information
Practice address
120 JOSE FIGUERES AVE, SAN JOSE, CA 95116-1528
(408) 272-1400
(408) 272-4695
Mailing address
120 JOSE FIGUERES AVE, SAN JOSE, CA 95116-1528
(408) 272-1400
(408) 272-4695
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
070000210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55483G
—
CA
Enumeration date
06/13/2005
Last updated
08/05/2024
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