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Search › California › Assisted Living Facility

Evangelina Jacy

NPI 1003365180 · on the registry since 2016 · sole proprietor

Practice

Address
1820 Bethany Ave
San Jose, CA 95132
Phone
(408) 250-2568
Fax
(408) 729-3282
Organisation at this address
Rose Guest Home
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Assisted Living Facility
310400000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-09-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California