Organization
FAITH ENTERPRISES, INC
Active
Other names
Tracy Convalescent and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R. DAVID DELISLE NHA (ADMINISTRATOR)
(209) 835-6034
Entity
Organization
Contact information
Practice address
545 W BEVERLY PL, TRACY, CA 95376-3012
(209) 835-6034
(209) 835-3339
Mailing address
545 W BEVERLY PL, TRACY, CA 95376-3012
(209) 835-6034
(209) 835-3339
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100000204
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR55080I
—
CA
Enumeration date
10/06/2006
Last updated
02/26/2010
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