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NPI 1437369808 · Intellectual Disabilities Intermediate Care Facility · San Jose, CA
Provider details
- NPI number
- 1437369808
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Reynaldo Quedado, President(408) 929-5580
- License
- LTC61066F (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2918 Ronco Dr
San Jose, CA 95132-2744
Phone: (408) 929-5580
Approximate (ZIP-level) locationGet directions
Mailing address
2918 Ronco Dr
San Jose, CA 95132-2744
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.