Organization
SOLIDUM CARE HOME ICFDD-N#2
Active
Parent organization
SOLIDUM CARE HOME INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOLIDUM CARE HOME INC.
Authorized official
NORMA SOLIDUM (CORPORATE OFFICER)
(209) 474-6785
Entity
Organization
Contact information
Practice address
9559 COLINGTON PL, STOCKTON, CA 95209-5013
(209) 474-6785
Mailing address
2114 CODY CT, STOCKTON, CA 95209-1212
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
550001684
CA
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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