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Organization
CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION
Active
Organization
CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH BICK MD (CHIEF MEDICAL EXECUTIVE)
(707) 449-6576
Entity
Organization
Contact information
Practice address
1600 CALIFORNIA DR, VACAVILLE, CA 95696
(707) 448-6841
Mailing address
1600 CALIFORNIA DR., VACAVILLE, CA 95696
(707) 448-6841
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
A91928
CA
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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