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Emerald Key Villa Inc
Intellectual Disabilities Intermediate Care Facility in San Jose, California
NPI 1932404555

Emerald Key Villa Inc is a Intellectual Disabilities Intermediate Care Facility based in San Jose, CA. Emerald Key Villa Inc practices in San Jose, CA. The NPI Number for Emerald Key Villa Inc is 1932404555 and holds a License No. (California).

The current practice location address for Emerald Key Villa Inc is 15860 Siesta Vista Drive, San Jose, CA and can be reached out via phone at 408-390-8533.

Location: 15860 Siesta Vista Drive, San Jose, CA, 95152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932404555
Provider Name
Emerald Key Villa Inc
Credential
Provider Entity Type
Organization
Address
15860 Siesta Vista Drive, San Jose, CA, 95152
Phone Number
408-390-8533
Fax Number
Provider Enumeration Date
01/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15860 Siesta Vista Drive
City
San Jose
State
California
Zip
95127
Phone Number
408-390-8533
Fax Number
person
Provider Business Mailing Address Details
Address
15860 Siesta Vista Drive
City
San Jose
State
California
Zip
95127
Phone Number
408-390-8533
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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