Facility Number:
430708158
Name:
EVERGREEN RESIDENTIAL CARE HOME
Type:
RESIDENTIAL CARE ELDERLY
Status:
LICENSED
Location:
3805 POLTON PLACE WAY
SAN JOSE, CA 95121
SANTA CLARA County
SAN JOSE, CA 95121
SANTA CLARA County
Phone:
(408) 238-7231
Facility Admin:
SERRANO, CHARITO
License First Date:
11/20/1986
Capacity:
6
Complaint:
2
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