Organization
EASTER SEALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS MACALOON (ADMINISTRATIVE COORDINATOR)
(510) 835-3121
Entity
Organization
Contact information
Practice address
1101 S WINCHESTER BLVD STE 120C, SAN JOSE, CA 95128-3901
(510) 835-3121
Mailing address
1101 S WINCHESTER BLVD STE 120C, SAN JOSE, CA 95128-3901
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
62008
CA
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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