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Tupaz Home # 5
Intellectual Disabilities Intermediate Care Facility in San Jose, California
NPI 1962613422

Tupaz Home # 5 is a Intellectual Disabilities Intermediate Care Facility based in Union City, CA. Tupaz Home # 5 practices in San Jose, CA. The NPI Number for Tupaz Home # 5 is 1962613422 and holds a License No. LTC80103G (California).

The current practice location address for Tupaz Home # 5 is 3456 Calvin Ave, San Jose, CA and can be reached out via phone at 408-371-6543. You can also correspond with Tupaz Home # 5 through the mailing address at 2831 CORTINA WAY, UNION CITY, CA - 94587-1553 (mailing address contact number: 408-377-1622).

Location: 3456 Calvin Ave, San Jose, CA, 94587-1553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962613422
Provider Name
Tupaz Home # 5
Credential
Provider Entity Type
Organization
Address
3456 Calvin Ave, San Jose, CA, 94587-1553
Phone Number
408-371-6543
Fax Number
Provider Enumeration Date
05/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3456 Calvin Ave
City
San Jose
State
California
Zip
95124-2545
Phone Number
408-371-6543
Fax Number
person
Provider Business Mailing Address Details
Address
3456 Calvin Ave
City
San Jose
State
California
Zip
95124-2545
Phone Number
408-371-6543
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
LTC80103G (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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