Organization
CENTER ST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAIFUDDIN RANIWALA (MEMBER)
(209) 612-8194
Entity
Organization
Contact information
Practice address
505 E CENTER ST, MANTECA, CA 95336-4719
(209) 612-8194
Mailing address
505 E CENTER ST, MANTECA, CA 95336-4719
(209) 612-8194
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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