NPI 1205019767

Mouri Management Group Incorporated

Organisation Intellectual Disabilities Intermediate Care Facility San Jose, CA

Practice location

Address: 2492 Aram Ave, San Jose, CA 95128-4209
Phone: (408) 298-5205
Fax: (408) 531-9020
Mailing address: 3220 Flintdale Dr, San Jose, CA 95148-1231

Authorised official

Name: Noel de Jesus
Title: Executive Director
Phone: (408) 531-9126

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 070000663 (CA)

Other Intermediate Care Facility, Intellectual Disabilities providers in California →

Registry record

NPI: 1205019767
Entity type: Organization
NPI issued: 7 Dec 2007
Record last updated: 17 Apr 2020

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.