# DELTA SKILLED NURSING CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Delta Rehabilitation & Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851392500
- **Authorized official:** MR. TERRY BANE (PRESIDENT)
- **Authorized official phone:** (530) 897-5100

## Contact information

- **Practice address:** 1334 S HAM LN, LODI, CA 95242-3903
- **Practice address phone:** (209) 334-3825
- **Practice address fax:** (209) 368-7714
- **Mailing address:** 1334 S HAM LN, LODI, CA 95242-3903
- **Mailing address phone:** (209) 334-3825
- **Mailing address fax:** (209) 368-7714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 030000138 | CA | Yes |

## Other

- **Enumeration date:** 08/03/2005
- **Last updated:** 11/20/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR18503H | — | CA |