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Organization
DUKE FACILITIES, INC.
Active
Organization
DUKE FACILITIES, INC.
Active
Other names
Duke ICF DDH # 2
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA BETH DUKE R.N.P. (LICENSEE PRESIDENT)
(209) 969-1576
Entity
Organization
Contact information
Practice address
238 VINCENTE WAY, STOCKTON, CA 95207-2923
(209) 951-3496
Mailing address
1150 W ROBINHOOD DR, STE 2 C, STOCKTON, CA 95207-5624
(209) 474-9260
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
55G393
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60979G
—
CA
Enumeration date
01/09/2007
Last updated
08/22/2020
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