Organization
LITA & AVA INC.
Active
Other names
A Grace Sub Acute & Skilled Care
Organization subpart
No
Provider details
NPI number
Authorized official
JULITA A JAVIER (PRESIDENT)
(408) 241-3844
Entity
Organization
Contact information
Practice address
1250 S WINCHESTER BLVD, SAN JOSE, CA 95128-3906
(408) 241-3844
(408) 241-6430
Mailing address
1250 S WINCHESTER BLVD, SAN JOSE, CA 95128-3906
(408) 241-3844
(408) 241-6430
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/13/2008
Last updated
04/15/2014
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