Provider Demographics
NPI:1376719047
Name:A & C HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:A & C HEALTH CARE SERVICES
Other - Org Name:ARBOR PLACE RESIDENTIAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.F.O.
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMPARO
Authorized Official - Middle Name:B
Authorized Official - Last Name:RAGUDO
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:408-226-0300
Mailing Address - Street 1:5615 COTTLE RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-3625
Mailing Address - Country:US
Mailing Address - Phone:408-226-0300
Mailing Address - Fax:408-226-3800
Practice Address - Street 1:17 LOUIE AVE
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95240-1283
Practice Address - Country:US
Practice Address - Phone:209-369-8282
Practice Address - Fax:209-369-7638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility