Organization
LONG TERM CARE MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN R. PAVLOW (PRESIDENT)
(702) 893-8962
Entity
Organization
Contact information
Practice address
1032 N LINCOLN ST, STOCKTON, CA 95203-2409
(209) 466-5341
(209) 466-5355
Mailing address
5600 SPRING MOUNTAIN RD, SUITE # 207, LAS VEGAS, NV 89146-8821
(702) 893-8962
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55186F
—
CA
Enumeration date
05/05/2006
Last updated
08/22/2020
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