Organization
SOLIDUM CARE HOME ICF DDN2
Active
Other names
Solidum Care Home Inc
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA SOLIDUM (CORPORATE OFFICER)
(209) 474-6785
Entity
Organization
Contact information
Practice address
9559 COLINGTON PL, STOCKTON, CA 95209-5013
(209) 474-6785
Mailing address
2114 CODY CT, STOCKTON, CA 95209-1212
(209) 474-6785
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
550001684
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
550001684
—
CA
Enumeration date
02/06/2014
Last updated
02/06/2014
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