Organization
DYCORA TRANSITIONAL HEALTH - STOCKTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HAWKINS (EXECUTIVE)
(209) 477-0271
Entity
Organization
Contact information
Practice address
4545 SHELLEY CT, STOCKTON, CA 95207-7232
(209) 477-0271
Mailing address
4545 SHELLEY COURT, STOCKTON, CA 95207-7232
(209) 477-0271
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Enumeration date
10/21/2016
Last updated
01/24/2018
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