Organization
BECKER II HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REYNALDO QUEDADO (PRESIDENT)
(408) 929-5580
Entity
Organization
Contact information
Practice address
2918 RONCO DR, SAN JOSE, CA 95132-2744
(408) 929-5580
Mailing address
2918 RONCO DR, SAN JOSE, CA 95132-2744
(408) 929-5580
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
LTC61066F
CA
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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