Organization
LEE'S CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORAZON ESPOSO MILLARES (ADMINISTRATOR)
(408) 768-4189
Entity
Organization
Contact information
Practice address
5225 GALLANT FOX AVENUE, SAN JOSE, CA 95131
(408) 841-9508
(408) 904-5344
Mailing address
5225 GALLANT FOX AVE, SAN JOSE, CA 95111-2853
(408) 841-9508
(408) 904-5344
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
435294105
CA
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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