Stockton Congregational Homes
NPI #1255336533 in Stockton, California
Provider Information
- NPI Number
- 1255336533
- Entity Type
- Organization
- Organization Name
- Stockton Congregational Homes
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 14, 2005
- Last Updated
- Sep 16, 2014
Practice Location
- Address
- 1319 N MADISON ST
- City
- Stockton
- State
- California
- ZIP Code
- 95202-1047
- Phone
- (209) 466-4341
Authorized Official
- Name
- STUART HARTMAN
- Title
- V.P. OF OPERATIONS
- Phone
- (562) 257-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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