Good Samaritan Care Provider LLC
Good Samaritan Care Provider LLC is a Skilled Nursing Facility in Stockton, California. Registered with an NPI since 2014.
- In the registry since
- 2014
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10740 Oakwilde AveStockton, CA 95212-9249
Phone: (209) 406-6610
Fax: (209) 451-4997
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|
Record details
| NPI number | 1114323136 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Praxedes Demesa — President/Managng Member · (209) 406-6610 |
| Other names | Four Seasons Care Center- Lodi |
| NPI enumerated | November 19, 2014 |
| Last updated in NPPES | November 19, 2014 |
| Mailing address | 610 S Fairmont Ave, Lodi, CA 95240-3835 |
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