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Organization

CORRECTIONS AND REHABILITATION-HEADQUARTERS

Active
Parent organization
CORRECTIONS AND REHABILITATION
Other names
California Health Care Facility DeWitt E-YARD
Organization subpart
Yes

Provider details

NPI number
Legal business name
CORRECTIONS AND REHABILITATION
Authorized official
PIERRE CAESARE SAUCIER JAMES (STAFF SERVICES MANAGER I)
(510) 780-6997
Entity
Organization

Contact information

Practice address
7707 SOUTH AUSTIN ROAD, ROOM 123, STOCKTON, CA 95215
(209) 467-2500
(209) 467-1595
Mailing address
7707 SOUTH AUSTIN ROAD, ROOM 123, STOCKTON, CA 95215
(209) 467-2500
(209) 467-1595

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
03/17/2020
Last updated
12/04/2024
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