Duke Icf Ddh # 2

LBN: Duke Facilities, Inc.
Duke Icf Ddh # 2 is an health care organization with primary practice located at 238 Vincente Way , Stockton CA 95207-2923. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Duke Facilities, Inc. can be contacted via phone (209) 951-3496, or through Duke, Anita Beth via phone (209) 969-1576.

Contact Information

Primary practice address
238 Vincente Way Stockton CA 95207-2923
Phone: (209) 951-3496
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Duke, Anita Beth Registered Nurse Practitioner (RNP)
Phone: (209) 969-1576

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 55G393 California

Profile Details

NPI number 1154470953
LBN Legal business name Duke Facilities, Inc.
DBA Doing business as Duke Icf Ddh # 2
Authorized official Duke, Anita Beth Registered Nurse Practitioner (RNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154470953 NPPES
California MEDICAID LTC60979G

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