Organization
INTELLICARE SERVICES LLC
Active
Other names
INTELLICARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
GILDA DIZON RN, BSN (PRESIDENT/OWNER)
(209) 406-0817
Entity
Organization
Contact information
Practice address
10410 RUDDER WAY, STOCKTON, CA 95209-4348
(209) 406-0817
(209) 451-4997
Mailing address
1630 N EDISON ST, STOCKTON, CA 95204-5633
(209) 406-0817
(209) 451-4997
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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