Organization · Type 2 NPI

Emerald Key Villa Inc

Intellectual Disabilities Intermediate Care Facility · San Jose, CA

NPI number 1932404555 Active

Practice location

15860 Siesta Vista Drive
San Jose, CA 95127

Call (408) 390-8533 Map

Mailing address

PO Box 32804
San Jose, CA 95152

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

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

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About NPI 1932404555

Emerald Key Villa Inc's National Provider Identifier is 1932404555, issued on Jan 12, 2011. 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 12, 2011.