Lincoln Glen Skilled Nursing Facility
NPI #1093704249 in San Jose, California
Provider Information
- NPI Number
- 1093704249
- Entity Type
- Organization
- Organization Name
- Lincoln Glen Skilled Nursing Facility
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 20, 2005
- Last Updated
- Dec 13, 2024
Practice Location
- Address
- 2671 PLUMMER AVE
- City
- San Jose
- State
- California
- ZIP Code
- 95125-4867
- Phone
- (408) 265-3222
Authorized Official
- Name
- JAMES BRADLEY MORTENSEN, LNHA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (408) 757-8580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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