Organization
WINDSOR HAMPTON CARE CENTER, LLC
Active
Other names
Windsor Hampton Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE FIEGEN (CHIEF OPERATING OFFICER)
(310) 382-1090
Entity
Organization
Contact information
Practice address
442 E HAMPTON ST, STOCKTON, CA 95204-5519
(209) 466-0456
(209) 466-2796
Mailing address
442 E HAMPTON ST, STOCKTON, CA 95204-5519
(209) 466-0456
(209) 466-2796
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR06324I
—
CA
Enumeration date
01/30/2007
Last updated
08/22/2020
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