Organization
VILLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORINE BERNARD (EXECUTIVE DIRECTOR)
(650) 318-5809
Entity
Organization
Contact information
Practice address
1855 MIRAMONTE AVE, MOUNTAIN VIEW, CA 94040-4029
(650) 961-6484
(650) 961-6254
Mailing address
1855 MIRAMONTE AVE, MOUNTAIN VIEW, CA 94040-4029
(650) 961-6484
(650) 961-6254
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
430708114
CA
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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