Provider Demographics
NPI:1285212662
Name:RCFE CARE AND RESPITE HOUSE
Entity Type:Organization
Organization Name:RCFE CARE AND RESPITE HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE OPERATIONS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:BENITEZ
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-207-4964
Mailing Address - Street 1:4105 KEEPSAKE COURT
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95377
Mailing Address - Country:US
Mailing Address - Phone:209-207-4964
Mailing Address - Fax:209-289-0964
Practice Address - Street 1:663 CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95206-2911
Practice Address - Country:US
Practice Address - Phone:209-207-4964
Practice Address - Fax:209-289-0964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility