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Organization

SJ FACILITY INC

Active
Other names
HOMEWOOD CARE CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
JACK EASTERDAY (PRESIDENT)
(510) 899-7999
Entity
Organization

Contact information

Practice address
75 N 13TH ST, SAN JOSE, CA 95112-3439
(408) 295-2665
Mailing address
75 N 13TH ST, SAN JOSE, CA 95112-3439
(408) 295-2665

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZR05388L
CA
Enumeration date
02/05/2007
Last updated
08/22/2020
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