MEDICARE: LAUREL CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1285460824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAUREL CARE INC

Provider Business Mailing Address
First Line	:	3018 KING EST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95135-1362
Country	:	US
Telephone Number	:	408-921-9355
Fax Number	:

Provider Business Practice Location Address
First Line	:	2468 NIGHTINGALE DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95125-2804
Country	:	US
Telephone Number	:	408-265-2263
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MERLE M LAUREL
Credential	:	RN
Telephone Number	:	408-921-9355

Provider Enumeration Date	:	09/10/2024
Last Update Date	:	09/10/2024

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Directions to “LAUREL CARE INC ” Practice Location

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