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Shirley's Icf Dd N No 5
Nursing Facility/Intermediate Care Facility in Stockton, California
NPI 1053563536

Shirley's Icf Dd N No 5 is a Nursing Facility/Intermediate Care Facility based in Stockton, CA. Shirley's Icf Dd N No 5 practices in Stockton, CA. The NPI Number for Shirley's Icf Dd N No 5 is 1053563536 and holds a License No. 5500000686 (California).

The current practice location address for Shirley's Icf Dd N No 5 is 9565 Colington Pl, Stockton, CA and can be reached out via phone at 209-952-6027 and via fax at 209-952-7829. You can also correspond with Shirley's Icf Dd N No 5 through the mailing address at 1182 DUVALL CT, STOCKTON, CA - 95210-3581 (mailing address contact number: 209-475-9829).

Location: 9565 Colington Pl, Stockton, CA, 95210-3581
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053563536
Provider Name
Shirley's Icf Dd N No 5
Credential
Provider Entity Type
Organization
Address
9565 Colington Pl, Stockton, CA, 95210-3581
Phone Number
209-952-6027
Fax Number
209-952-7829
Provider Enumeration Date
10/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9565 Colington Pl
City
Stockton
State
California
Zip
95209-5013
Phone Number
209-952-6027
Fax Number
209-952-7829
person
Provider Business Mailing Address Details
Address
1182 Duvall Ct
City
Stockton
State
California
Zip
95210-3581
Phone Number
209-475-9829
Fax Number
209-475-9845
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
5500000686 (California)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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