Organization
LITA & AVA INC
Active
Parent organization
LITA & AVA INC
Other names
A GRACE SUB ACUTE & SKILLED CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
LITA & AVA INC
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
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
070000051
CA
Other
Enumeration date
12/31/2008
Last updated
12/31/2008
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