State of California - Department of Developmental Services
State of California - Department of Developmental Services is a General Acute Care Hospital in San Jose, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 5
Practice location Address checks out
3500 Zanker RdSan Jose, CA 95134-2201
Phone: (408) 451-6198
Fax: (408) 451-6167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 160000519 (CA) |
|---|---|
| General Acute Care Hospital | Taxonomy 282N00000X · Licence 160000519 (CA) |
| Nursing Facility/Intermediate Care Facility | Taxonomy 313M00000X · Licence 160000519 (CA) |
| Skilled Nursing Facility | Taxonomy 314000000X · Licence 160000519 (CA) |
| Pharmacy | Taxonomy 333600000X · Licence 160000519 (CA) |
Record details
| NPI number | 1730130071 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kathy Kinser — Deputy Director · (916) 654-1963 |
| Other names | Agnews Developmental Center |
| NPI enumerated | May 12, 2006 |
| Last updated in NPPES | January 6, 2009 |
| Mailing address | Po Box 944202, 1600 9th Street, Sacramento, CA 94244-2020 |
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