NPI 1205987864

Mouri Management Group Incorporated

Organisation Intellectual Disabilities Intermediate Care Facility San Jose, CA

Practice location

Address: 5601 Croydon Ave, San Jose, CA 95118-3522
Phone: (408) 267-2109
Fax: (408) 531-9020
Mailing address: 3220 Flintdale Drive, San Jose, CA 95148-1231

Authorised official

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

Registered specialties (2)

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in California →

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence LTC60949F (CA)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in California →

Registry record

NPI: 1205987864
Entity type: Organization
NPI issued: 12 Jan 2007
Record last updated: 25 Oct 2023

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.