Organization
ANGELS MANOR CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELMA L FERNANDEZ (LINCESEE ADMINISTRATOR)
(408) 272-8655
Entity
Organization
Contact information
Practice address
1021 HEATHERFIELD LN, SAN JOSE, CA 95132-2931
(408) 272-8655
(408) 258-1328
Mailing address
1021 HEATHERFIELD LN, SAN JOSE, CA 95132-2931
(408) 272-8655
(408) 258-1328
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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