Intellicare Services LLC

NPI #1235521774 in Stockton, California

Provider Information

NPI Number: 1235521774
Entity Type: Organization
Organization Name: Intellicare Services LLC
Primary Specialty: Case Management
Enumeration Date: Feb 20, 2015
Last Updated: Feb 20, 2015

Practice Location

Address: 10410 RUDDER WAY
City: Stockton
State: California
ZIP Code: 95209-4348
Phone: (209) 406-0817

Authorized Official

Name: GILDA DIZON, RN, BSN
Title: PRESIDENT/OWNER
Phone: (209) 406-0817

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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