Organization
NOV PERSHING LLC
Active
Parent organization
NOVELLUS LIVING GROUP LLC
Other names
CAMLU ASSISTED LIVING
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOVELLUS LIVING GROUP LLC
Authorized official
CHRISTOPHER COULTER (PRINCIPAL)
(916) 759-1969
Entity
Organization
Contact information
Practice address
6037 N PERSHING AVE, STOCKTON, CA 95207-4158
(209) 951-2030
(209) 951-3036
Mailing address
7405 GREENBACK LN # 336, CITRUS HEIGHTS, CA 95610-5653
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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