Organization · Type 2 NPI

Mouri Management Group Incorporated

Intellectual Disabilities Intermediate Care Facility · San Jose, CA

NPI number 1205987864 Active

Practice location

5601 Croydon Ave
San Jose, CA 95118-3522

Call (408) 267-2109 Map

Fax (408) 531-9020

Mailing address

3220 Flintdale Drive
San Jose, CA 95148-1231

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000XLTC60949F (CA)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1205987864

Mouri Management Group Incorporated's National Provider Identifier is 1205987864, issued on Jan 12, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in San Jose, CA. The record was last updated on Oct 25, 2023.