Organization
WESTGATE PREMIER HEALTHCARE SERVICES, INC.
Active
Other names
Amberwood Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDIL V. BASA NHA (EXECUTIVE DIRECTOR)
(408) 253-7502
Entity
Organization
Contact information
Practice address
1601 PETERSEN AVE, SAN JOSE, CA 95129-4844
(408) 253-7502
(408) 252-6034
Mailing address
1601 PETERSEN AVE, SAN JOSE, CA 95129-4844
(408) 253-7502
(408) 252-6034
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05750H
—
CA
Enumeration date
10/06/2005
Last updated
08/22/2020
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