Organization
INTELLICARE SERVICES LLC
Active
Other names
INTELLICARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GILDA D DIZON RN, BSN (PRESIDENT/MANAGING MEMBER)
(209) 406-0817
Entity
Organization
Contact information
Practice address
1630 N EDISON ST, STOCKTON, CA 95204-5633
(209) 406-6610
(209) 423-8753
Mailing address
1630 N EDISON ST, STOCKTON, CA 95204-5633
(209) 406-6610
(209) 423-8753
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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