Provider Demographics
NPI:1962539130
Name:SOSA PACE, ELEONORE LEONORE
Entity type:Individual
Prefix:MS
First Name:ELEONORE
Middle Name:LEONORE
Last Name:SOSA PACE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ELEONORE
Other - Middle Name:LEONORE
Other - Last Name:SOSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2001 THE ALAMEDA
Mailing Address - Street 2:ALLIANCE FOR COMMUNITY CARE
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-1136
Mailing Address - Country:US
Mailing Address - Phone:408-261-7777
Mailing Address - Fax:408-254-9960
Practice Address - Street 1:230 NO MORRISON AVE
Practice Address - Street 2:SUB ACUTE RESIDENTIAL TREATMENT
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-2741
Practice Address - Country:US
Practice Address - Phone:408-938-8516
Practice Address - Fax:408-295-4231
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator