# DYCORA TRANSITIONAL HEALTH - WEBER OAKS LLC

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

## Provider details

- **NPI number:** 1295278067
- **Authorized official:** MARY HAWKINS (EXECUTIVE)
- **Authorized official phone:** (209) 466-3522

## Contact information

- **Practice address:** 2740 N CALIFORNIA ST, STOCKTON, CA 95204-5529
- **Practice address phone:** (209) 466-3522
- **Mailing address:** 2740 N CALIFORNIA ST, STOCKTON, CA 95204-5529
- **Mailing address phone:** (209) 466-3522

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2016
- **Last updated:** 01/24/2018