Organization
WELDWOODS RESIDENTIAL CARE HOME LLC
Active
Other names
Weldwoods
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOKIME ETIM (ADMINISTRATOR/MANAGING MEMBER)
(510) 470-2881
Entity
Organization
Contact information
Practice address
1490 PELUSA LN, MANTECA, CA 95337-8792
(510) 470-2881
Mailing address
928 WELDWOOD CT APT 4, LOS GATOS, CA 95032-1350
(510) 470-2881
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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