NPI 1245288521 · live from the CMS NPI Registry
Long Term Care Management, INC.
Skilled Nursing Facility in Stockton, CA. National Provider Identifier 1245288521, active.
NPI record
| NPI | 1245288521 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 1032 N Lincoln St, Stockton, CA 95203 |
| Practice phone | 209-466-5341 |
| Mailing address | 5600 Spring Mountain Rd, Suite # 207, Las Vegas, NV 89146 |
| Enumerated | May 5, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Steven Pavlow, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.