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Tupaz Home # 11
Intellectual Disabilities Intermediate Care Facility in San Jose, California
NPI 1568673960

Tupaz Home # 11 is a Intellectual Disabilities Intermediate Care Facility based in Union City, CA. Tupaz Home # 11 practices in San Jose, CA. The NPI Number for Tupaz Home # 11 is 1568673960 and holds a License No. LTC80365F (California).

The current practice location address for Tupaz Home # 11 is 1850 Potrero Dr, San Jose, CA and can be reached out via phone at 408-723-3048.

Location: 1850 Potrero Dr, San Jose, CA, 94587-1553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568673960
Provider Name
Tupaz Home # 11
Credential
Provider Entity Type
Organization
Address
1850 Potrero Dr, San Jose, CA, 94587-1553
Phone Number
408-723-3048
Fax Number
Provider Enumeration Date
05/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1850 Potrero Dr
City
San Jose
State
California
Zip
95124-1756
Phone Number
408-723-3048
Fax Number
person
Provider Business Mailing Address Details
Address
1850 Potrero Dr
City
San Jose
State
California
Zip
95124-1756
Phone Number
408-723-3048
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
LTC80365F (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.
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