Organization
MEXICAN AMERICAN COMMUNITY SERVICES AGENCY, INC.
Active
Other names
Macsa Adult Day Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA SOSA MENDIOLA (CHIEF EXCUTIVE OFFICER)
(408) 928-1122
Entity
Organization
Contact information
Practice address
130 N JACKSON AVE, SAN JOSE, CA 95116-1907
(408) 928-1155
(408) 928-1153
Mailing address
130 N JACKSON AVE, SAN JOSE, CA 95116-1907
(408) 928-1155
(408) 928-1153
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70050F
—
CA
Enumeration date
11/21/2006
Last updated
08/22/2020
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