# LONG TERM CARE MANAGEMENT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245288521
- **Authorized official:** STEVEN R. PAVLOW (PRESIDENT)
- **Authorized official phone:** (702) 893-8962

## Contact information

- **Practice address:** 1032 N LINCOLN ST, STOCKTON, CA 95203-2409
- **Practice address phone:** (209) 466-5341
- **Practice address fax:** (209) 466-5355
- **Mailing address:** 5600 SPRING MOUNTAIN RD, SUITE \# 207, LAS VEGAS, NV 89146-8821
- **Mailing address phone:** (702) 893-8962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55186F | — | CA |