Individual provider · Type 1 NPI
Evangelina Jacy
Assisted Living Facility · San Jose, CA
NPI number
1003365180
Active
Practice location
1820 Bethany Ave
San Jose, CA 95132-1514
Fax (408) 729-3282
Mailing address
1824 Bethany Ave
San Jose, CA 95132-1514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 435201652 (CA) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2 other providers at this address
Other assisted living facility providers in San Jose
About NPI 1003365180
Evangelina Jacy's National Provider Identifier is 1003365180, issued on Sep 29, 2016. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in San Jose, CA. The record was last updated on Sep 29, 2016.