Organization
HOLLYWOOD RCFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIVIC CRUZ ADMINISTRATOR (CEO/ADMINISTRATOR)
(408) 594-9777
Entity
Organization
Contact information
Practice address
2306 HOLLYWOOD DR, STOCKTON, CA 95210-1626
(408) 594-9777
(916) 573-3874
Mailing address
2306 HOLLYWOOD DR, STOCKTON, CA 95210-1626
(408) 594-9777
(916) 573-3874
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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