Organization
DELTA SKILLED NURSING CENTER, INC.
Active
Other names
Delta Rehabilitation & Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY BANE (PRESIDENT)
(530) 897-5100
Entity
Organization
Contact information
Practice address
1334 S HAM LN, LODI, CA 95242-3903
(209) 334-3825
(209) 368-7714
Mailing address
1334 S HAM LN, LODI, CA 95242-3903
(209) 334-3825
(209) 368-7714
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030000138
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR18503H
—
CA
Enumeration date
08/03/2005
Last updated
11/20/2013
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