NPI 1083825541

Tupaz Home # 4

Organisation Intellectual Disabilities Intermediate Care Facility San Jose, CA

Practice location

Address: 888 Clarkston Dr, San Jose, CA 95136-1503
Phone: (408) 266-1521
Mailing address: 2831 Cortina Way, Union City, CA 94587-1553

Authorised official

Name: Beebe Tupaz
Title: Owner
Phone: (408) 377-1622

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence LTC80077G (CA)

Other Intermediate Care Facility, Intellectual Disabilities providers in California →

Registry record

NPI: 1083825541
Entity type: Organization
NPI issued: 25 May 2007
Record last updated: 10 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.