Organization · NPI-2

Abode Services

Community/Behavioral Health · San Jose, CA

NPI number1003484783
StatusActive
Last updated in NPPESJun 17, 2021

Details

NPI
1003484783
Entity type
Organization (NPI-2)
Legal business name
Abode Services
Organization subpart
No
Enumeration date
Jun 17, 2021
Certification date
Jun 17, 2021
Last updated
Jun 17, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

1690 Southwest Expy
San Jose, CA 95126-4400

Phone 510-270-1150

Mailing address

40849 Fremont Blvd
Fremont, CA 94538-4306

Authorized official

Sherman Wong
Quality Assurance Coordinator
5102701150

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