Organization
DUKE FACILITIES, INC.
Active
Other names
Duke ICF-DDH
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA BETH DUKE R.N.P. (LICENSEE PRESIDENT)
(209) 969-1576
Entity
Organization
Contact information
Practice address
2661 OTTO DR, STOCKTON, CA 95209-1111
(209) 951-9776
Mailing address
1150 W ROBINHOOD DR STE 2C, STOCKTON, CA 95207-5630
(209) 474-9260
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
55G165
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60845G
—
CA
Enumeration date
01/09/2007
Last updated
11/07/2008
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