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Organization
O'CONNOR WOODS HOUSING CORPORATION
Active
Organization
O'CONNOR WOODS HOUSING CORPORATION
Active
Other names
Meadowood Health & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY MALLETTE (CEO)
(209) 956-3400
Entity
Organization
Contact information
Practice address
3110 WAGNER HEIGHTS RD, STOCKTON, CA 95209-4848
(209) 956-3444
(209) 956-3454
Mailing address
3400 WAGNER HEIGHTS RD, STOCKTON, CA 95209-4843
(209) 956-3400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100000631
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100000631
STATE LICENSE NUMBER
CA
05
—
7538839
—
CA
Enumeration date
10/17/2006
Last updated
10/30/2025
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