# DYCORA TRANSITIONAL HEALTH - SHAFTER LLC

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

## Provider details

- **NPI number:** 1912459959
- **Authorized official:** MARY HAWKINS (EXECUTIVE)
- **Authorized official phone:** (661) 746-3912

## Contact information

- **Practice address:** 140 E TULARE AVE, SHAFTER, CA 93263-1834
- **Practice address phone:** (661) 746-3912
- **Mailing address:** 140 E TULARE AVE, SHAFTER, CA 93263-1834
- **Mailing address phone:** (661) 746-3912

## Taxonomy

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

## Other

- **Enumeration date:** 10/25/2016
- **Last updated:** 01/24/2018