Organization
DUKE FACILITIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA BETH DUKE R.N.P. (LICENSEE PRESIDENT)
(209) 969-1576
Entity
Organization
Contact information
Practice address
403 GOYA DR, STOCKTON, CA 95207-2246
(209) 472-7848
Mailing address
1150 W ROBINHOOD DR, STE 2C, STOCKTON, CA 95207-5624
(209) 474-9260
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
55G532
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC61061F
—
CA
Enumeration date
01/10/2007
Last updated
08/22/2020
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