Provider Demographics
NPI:1104066976
Name:TUPAZ DAY CARE SERVICES
Entity type:Organization
Organization Name:TUPAZ DAY CARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BEEBE
Authorized Official - Middle Name:
Authorized Official - Last Name:TUPAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-377-1622
Mailing Address - Street 1:2831 CORTINA WAY
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-1553
Mailing Address - Country:US
Mailing Address - Phone:408-377-1622
Mailing Address - Fax:
Practice Address - Street 1:3015 UNION AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-2006
Practice Address - Country:US
Practice Address - Phone:408-377-1622
Practice Address - Fax:408-377-1143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services