Organization
WATERWAYS HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY WELLS (ADMINISTRATOR)
(209) 477-2664
Entity
Organization
Contact information
Practice address
1221 ROSEMARIE LN, STOCKTON, CA 95207-6703
(209) 477-2664
Mailing address
1221 ROSEMARIE LN, STOCKTON, CA 95207-6703
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/18/2021
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