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1740723501
DYCORA TRANSITIONAL HEALTH - QUAIL LAKE LLC
STOCKTON, CA
NPI
1740723501
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Entity Type
Organization
Authorized Contact
MARY HAWKINS
Executive
209-477-2664
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2016-11-28
Last Update Date
2018-01-24
Business Address
DYCORA TRANSITIONAL HEALTH - QUAIL LAKE LLC
1221 ROSEMARIE LN
STOCKTON, CA 95207-6703
Phone number: 209-477-2664
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Mailing Address
DYCORA TRANSITIONAL HEALTH - QUAIL LAKE LLC
1221 ROSEMARIE LN
STOCKTON, CA 95207-6703
Phone number: 209-477-2664
Copy
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