Organization
EMMANUEL HEALTHCARE SOUTH BAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW T JAVELLANA (ADMINISTRATOR)
(408) 684-4327
Entity
Organization
Contact information
Practice address
800 CHARCOT AVE, STE 113, SAN JOSE, CA 95131-2211
(408) 684-4327
(408) 684-4329
Mailing address
800 CHARCOT AVE, STE 113, SAN JOSE, CA 95131-2211
(408) 684-4327
(408) 684-4329
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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