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Organization
STOCKTON NURSING AND REHAB CENTER LLC
Active
Organization
STOCKTON NURSING AND REHAB CENTER LLC
Active
Other names
Stockton Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE HIXSON (CONTROLLER)
(801) 601-1450
Entity
Organization
Contact information
Practice address
4545 SHELLEY CT, STOCKTON, CA 95207-7232
(801) 601-1450
Mailing address
1376 E 3300 S, SALT LAKE CITY, UT 84106-3069
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
09/30/2020
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