Organization
CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH BICK MD (CHIEF MEDICAL EXECUTIVE)
(707) 449-6576
Entity
Organization
Contact information
Practice address
1600 CALIFORNIA DR, VACAVILLE, CA 95696
(707) 448-6841
Mailing address
1600 CALIFORNIA DR., VACAVILLE, CA 95696
(707) 448-6841
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
A91928
CA
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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