DUMOLIN SERVICE CORP.
Intermediate Care Facility, Mentally Retarded
Windsor, California
Provider NPI: 1902839962
Organization Information:Organization Name: DUMOLIN SERVICE CORP.
Practice Location:
7852 BELL ROAD WINDSOR, CA 95492 US
Tel: 707-838-2300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
7852 BELL ROAD WINDSOR, CA 95492 US
Tel: 707-838-2300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | CA |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
LTC60319G | CA | 05 | |
LTC60457F | CA | 05 | |
LTC60437G | CA | 05 | |
LTC60468F | CA | 05 | |
LTC80194F | CA | 05 | |
LTC60567F | CA | 05 | |
LTC60785F | CA | 05 | |
LTC80175F | CA | 05 | |
LTC60461F | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin