Organization
SNF PROPERTIES, INC
Active
Other names
EMMANUEL CONVALSCENT OF SAN JOSE
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PADRE (DIRECTOR OF REIMBURSEMENT)
(818) 248-9808
Entity
Organization
Contact information
Practice address
180 N JACKSON AVE, SAN JOSE, CA 95116-1907
(408) 259-8700
(408) 259-2343
Mailing address
2258 FOOTHILL BLVD STE 6, LA CANADA, CA 91011-1476
(818) 248-9808
(818) 541-7072
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06082H
—
CA
Enumeration date
07/23/2006
Last updated
08/22/2020
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