Organization
CASA DEL RIOS
Active
Other names
Omega House
Organization subpart
No
Provider details
NPI number
Authorized official
JANET RIOS RN (OWNER)
(209) 931-1027
Entity
Organization
Contact information
Practice address
7830 OMEGA WAY, STOCKTON, CA 95212-2902
(209) 931-1027
(209) 931-5516
Mailing address
5541 SOLARI RANCH RD, STOCKTON, CA 95215-9318
(209) 931-1027
(209) 931-5516
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60137G
—
CA
Enumeration date
04/15/2007
Last updated
08/22/2020
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