Jacy, Evangelina

Jacy, Evangelina is an sole proprietor health care provider with primary practice located at 1820 Bethany Ave , San Jose CA 95132-1514. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Jacy, Evangelina can be contacted via phone (408) 250-2568.

Contact Information

Primary practice address
1820 Bethany Ave San Jose CA 95132-1514
Phone: (408) 250-2568
Fax: (408) 729-3282
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 435201652 California

Profile Details

NPI number 1003365180
LBN Legal business name Jacy, Evangelina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2016
Last updated Sep 29th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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