Organization · Type 2 NPI
Angel Prestige Residential Care, LLC
Rehabilitation Practitioner · San Jose, CA
NPI number
1205106770
Active
Practice location
3305 Marcel Court
San Jose, CA 95135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | RN41086 (NV) |
| Adult Care Home Facility | 311ZA0620X | 4185AGC-6 (NV) |
| Adult Care Home Facility | 311ZA0620X | 3220AGC-13 (NV) |
Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
About NPI 1205106770
Angel Prestige Residential Care, LLC's National Provider Identifier is 1205106770, issued on Dec 30, 2011. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Jose, CA. The record was last updated on Jan 23, 2012.