Organization · Type 2 NPI

State of California - Department of Developmental Services

Intellectual Disabilities Intermediate Care Facility · San Jose, CA

NPI number 1730130071 Active

Practice location

3500 Zanker Rd
San Jose, CA 95134-2201

Call (408) 451-6198 Map

Fax (408) 451-6167

Mailing address

PO Box 944202, 1600 9th Street
Sacramento, CA 94244-2020

Specialties and licenses

TaxonomyCodeLicense
General Acute Care Hospital 282N00000X160000519 (CA)
Nursing Facility/Intermediate Care Facility 313M00000X160000519 (CA)
Skilled Nursing Facility 314000000X160000519 (CA)
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X160000519 (CA)
Pharmacy 333600000X160000519 (CA)

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

12 other providers at this address

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About NPI 1730130071

State of California - Department of Developmental Services's National Provider Identifier is 1730130071, issued on May 12, 2006. 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 Jan 6, 2009.