Organization
PRESTIGE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA MCNEAL (ADMINISTRATOR/OWNER)
(209) 534-3245
Entity
Organization
Contact information
Practice address
474 SUNDAY DR, TURLOCK, CA 95382-9625
(209) 534-3245
Mailing address
474 SUNDAY DR, TURLOCK, CA 95382-9625
(209) 534-3245
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
502700165
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
502700165
RESIDENTIAL CARE FACILITY
CA
Enumeration date
04/06/2018
Last updated
04/06/2018
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