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Organization

LASSENPARK VILLA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIRGIL VALIN (ADMINISTRATOR)
(408) 477-5522
Entity
Organization

Contact information

Practice address
364 LASSENPARK CIR, SAN JOSE, CA 95136-2159
(408) 477-5522
(408) 320-2415
Mailing address
364 LASSENPARK CIR, SAN JOSE, CA 95136-2159
(408) 477-5522
(408) 320-2415

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary

Other

Enumeration date
01/29/2026
Last updated
01/29/2026
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