DUKE FACILITIES INC. NPI 1700935509

NPI Details

DUKE FACILITIES, INC. is a nursing facility intermediate care facility in Stockton, CA. The provider is 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. DUKE FACILITIES, INC. NPI is 1700935509. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Duke Icf-ddh.

The provider's business location address is:

2661 OTTO DR
STOCKTON, CA
ZIP 95209-111
Phone: (209) 951-9776

The provider's authorized official is Anita Beth Duke .
The authorized official title is Licensee President and has the following contact phone number (209) 969-1576.

The CLIA number assigned to this NPI record is 05D2153333 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 11/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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