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Mouri Management Group Incorporated
Intellectual and/or Developmental Disabilities Residential Treatment Facility in San Jose, California
NPI 1205987864

Mouri Management Group Incorporated is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in San Jose, CA. Mouri Management Group Incorporated practices in San Jose, CA. The NPI Number for Mouri Management Group Incorporated is 1205987864 and holds a License No. (California).

The current practice location address for Mouri Management Group Incorporated is 5601 Croydon Ave, San Jose, CA and can be reached out via phone at 408-267-2109 and via fax at 408-531-9020.

Location: 5601 Croydon Ave, San Jose, CA, 95148-1231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205987864
Provider Name
Mouri Management Group Incorporated
Credential
Provider Entity Type
Organization
Address
5601 Croydon Ave, San Jose, CA, 95148-1231
Phone Number
408-267-2109
Fax Number
408-531-9020
Provider Enumeration Date
01/12/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
5601 Croydon Ave
City
San Jose
State
California
Zip
95118-3522
Phone Number
408-267-2109
Fax Number
408-531-9020
person
Provider Business Mailing Address Details
Address
5601 Croydon Ave
City
San Jose
State
California
Zip
95118-3522
Phone Number
408-267-2109
Fax Number
408-531-9020
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
LTC60949F (California)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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