| Gardner Family Care Corporation | |
|
614 Tully Rd San Jose CA 95111-1048 | |
| (408) 494-1561 | |
| Not Available |
| Full Name | Gardner Family Care Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 614 Tully Rd, San Jose, California |
| Authorized Official Name and Position | Donna Cretcher (INTERN COORDINATOR) |
| Authorized Official Contact | 4087923910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gardner Family Care Corporation 614 Tully Rd San Jose CA 95111-1048 Ph: (408) 494-1561 | Gardner Family Care Corporation 614 Tully Rd San Jose CA 95111-1048 Ph: (408) 494-1561 |
| NPI Number | 1477985570 |
|---|---|
| Provider Enumeration Date | 07/31/2013 |
| Last Update Date | 07/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477985570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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