Organization
TLC OF THE BAY AREA INC
Active
Other names
Valley House Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MALCOM K BURKE (ADMINISTRATOR)
(408) 988-7667
Entity
Organization
Contact information
Practice address
991 CLYDE AVENUE, SANTA CLARA, CA 95054
(408) 988-7667
(408) 988-2867
Mailing address
991 CLYDE AVENUE, SANTA CLARA, CA 95054
(408) 988-7667
(408) 988-2867
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40276073
STATE TAX ID
CA
05
—
ZZR06069H
—
CA
Enumeration date
11/13/2006
Last updated
08/22/2020
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