Organization
STOCKTON NURSING AND REHAB CENTER LLC
Active
Other names
Stockton Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE HIXSON (CONTROLLER)
(801) 601-1450
Entity
Organization
Contact information
Practice address
4545 SHELLEY CT, STOCKTON, CA 95207-7232
(801) 601-1450
Mailing address
1376 E 3300 S, SALT LAKE CITY, UT 84106-3069
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
09/30/2020
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