Organization
ICARE MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIEP D. NGUYEN (PRESIDENT)
(209) 957-8385
Entity
Organization
Contact information
Practice address
1215 W SWAIN RD, STOCKTON, CA 95207-4228
(209) 957-8385
(209) 477-0206
Mailing address
15 N MARKET ST, SAN JOSE, CA 95113-1207
(408) 287-5262
(408) 287-1597
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/12/2007
Last updated
11/12/2007
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