Organization
EVONNE'S RESIDENTIAL CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVONNE EVIEN RN (CEO)
(408) 702-7325
Entity
Organization
Contact information
Practice address
2719 PENITENCIA CREEK RD, SAN JOSE, CA 95132-2923
(408) 770-2115
Mailing address
2719 PENITENCIA CREEK RD, SAN JOSE, CA 95132-2923
(408) 770-2115
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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