Provider Demographics
NPI:1639526692
Name:DUKE FACILITIES INC.
Entity type:Organization
Organization Name:DUKE FACILITIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSEE/RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:DUKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:209-969-1576
Mailing Address - Street 1:2155 W MARCH LN
Mailing Address - Street 2:BUILDING 3 SUITE B
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-6420
Mailing Address - Country:US
Mailing Address - Phone:209-969-1576
Mailing Address - Fax:209-474-9260
Practice Address - Street 1:620 GARNER LN
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-4805
Practice Address - Country:US
Practice Address - Phone:209-969-1576
Practice Address - Fax:209-474-9260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-19
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities