American Star Home 2 Icf/dd-N
NPI #1629102710 in Antioch, California
Provider Information
- NPI Number
- 1629102710
- Entity Type
- Organization
- Organization Name
- American Star Home 2 Icf/dd-N
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Mar 14, 2007
- Last Updated
- Feb 24, 2024
Practice Location
- Address
- 5102 SIMS MOUNTAIN COURT
- City
- Antioch
- State
- California
- ZIP Code
- 94531
- Phone
- (925) 757-4121
Authorized Official
- Name
- MRS. VICKY SANTOS TING, BSN
- Title
- PRESIDENT/ADMINISTRATOR/OWNER
- Phone
- (925) 813-1979
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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