Organization
SOLIDUM CARE HOME ICF/DD-N #3
Active
Parent organization
SOLIDUM CARE HOMES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOLIDUM CARE HOMES, INC.
Authorized official
NORMA SOLIDUM (CORPORATE OFFICER)
(209) 474-6785
Entity
Organization
Contact information
Practice address
8712 ENSENADA DR, STOCKTON, CA 95210-1213
(209) 476-0541
Mailing address
9559 COLINGTON PL, STOCKTON, CA 95209-5013
(209) 474-6785
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
CA
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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