EMERALD BLOSSOM MANOR, LLC. is an intermediate care facility mentally retarded in San Jose, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. EMERALD BLOSSOM MANOR, LLC. NPI is 1346714425. The provider is registered as an organization entity type.
The provider's business location address is:
5301 GERINE BLOSSOM DR
SAN JOSE, CA
ZIP 95123-118
Phone: (669) 234-3344
Fax: (669) 500-7377
The provider's authorized official is Wayne Vincent Kilthau .
The authorized official title is Licensee and has the following contact phone number (669) 234-3344.
The enumeration date for this NPI number is 1/11/2019 and was last updated on 1/11/2019.