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Organization
4545 SHELLEY COURT OPCO, LLC
Active
Organization
4545 SHELLEY COURT OPCO, LLC
Active
Other names
Stockton Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
AVROHOM TRESS (MANAGER)
(310) 730-4800
Entity
Organization
Contact information
Practice address
4545 SHELLEY CT, STOCKTON, CA 95207-7232
(209) 477-0271
Mailing address
9526 W PICO BLVD, LOS ANGELES, CA 90035-1202
(310) 730-4800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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