NPI 1396594065

Sylvester Okoro

Practitioner Assisted Living Facility San Jose, CA

Practice location

Address: 1324 Bagely Way, San Jose, CA 95122-3001
Phone: (408) 899-2129
Mailing address: 3590 Rollingside Dr, San Jose, CA 95148-2844

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 435202749 (CA)

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Registry record

NPI: 1396594065
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2024
Record last updated: 15 May 2024

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.