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Medicl Facility ID: 2541459587274961760

Facility Business Name: DAVITA MANTECA DIALYSIS ( MANTECA, CA )

A list of all facilities registered with Medicare that includes addresses and phone numbers.

Field Name Field Value
Facility Id2541459587274961760
Facility NameDAVITA MANTECA DIALYSIS
Address Line1620 West Yosemite Ave
CityMANTECA
StateCA
Zip95337
CountySan Joaquin
Phone209-825-3905
TypeDialysis Facility
Provider Id052723