Gabriel Care Home Inc

NPI 1013183581 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1013183581
Enumeration Date 05/05/2008
Last Updated 05/05/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ELENA PAISTE ELENA
Position R.N.,ADMINISTRATOR
Phone (209) 333-0592
Fax (209) 368-2771
Practice Location
2216 ALPINE DR
LODI CA, 95240-6703, US
Phone (209) 333-0592
Fax (209) 368-2771
Business Location
2216 ALPINE DR
LODI CA, 95240-6703, US
Phone (209) 333-0592
Fax (209) 368-2771
Toxanomy
Taxonomy Code 315P00000X
License State California
License Number LTC80271F
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According to our database, Gabriel Care Home Inc NPI is 1013183581, taxonomy code is 315P00000X and license number is LTC80271F, license state is located at California. Gabriel Care Home Inc physically located at 2216 Alpine Dr, Lodi CA, 95240-6703. NPI Number 1033115704 has the healthcare provider type.

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1013183581 NPI number is provided on an as is basis without warranty of any kind. 1013183581 is maintained by the National Plan & Provider Enumeration System. The contents of Gabriel Care Home Inc are for informational purposes only.