Organization
TUPAZ HOME # 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEEBE TUPAZ (OWNER)
(408) 377-1622
Entity
Organization
Contact information
Practice address
14926 UNION AVE, SAN JOSE, CA 95124-4358
(408) 559-4613
Mailing address
2831 CORTINA WAY, UNION CITY, CA 94587-1553
(408) 377-1622
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
LTC80034G
CA
Other
Enumeration date
05/25/2007
Last updated
04/10/2009
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