Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVANGELINA JACY
Active Sole ProprietorEVANGELINA JACY is a Assisted Living Facility healthcare provider located in SAN JOSE, California. NPI 1003365180 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · SAN JOSE, CA
Registration Details
- NPI Number
- 1003365180
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 29, 2016 (9.9176816073686 yrs)
- Last Updated
- Sep 29, 2016
- License
-
435201652 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1820 BETHANY AVESAN JOSE, CA, 951321514Browse CA providers · Browse ZIP 95132
- Phone
- 4082502568
- Fax
- 4087293282
- Primary Specialty
-
Assisted Living Facility
310400000X
Other Assisted Living Facility Providers in SAN JOSE, CA
| Name | Credential | NPI |
|---|---|---|
| DIANA FONTANILLA | — | 1336684216 |
| SYLVESTER OKORO | — | 1396594065 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.