Organization
PREMIERCARE SKILLED NURSING SERVICES
Active
Organization
PREMIERCARE SKILLED NURSING SERVICES
Active
Other names
PremierCare Skilled Nursing Services
Organization subpart
No
Provider details
NPI number
Authorized official
SUNIL PATEL MD (OWNER / MD)
(209) 883-0525
Entity
Organization
Contact information
Practice address
1470 BESSIE AVE, TRACY, CA 95376-3417
(209) 883-0525
Mailing address
1470 BESSIE AVE, TRACY, CA 95376-3417
(209) 883-0525
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A4397
CA LICENSE
CA
Enumeration date
06/10/2020
Last updated
06/10/2020
Update your record
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