Gapasin Manor Icfddn #1 in Stockton - Intermediate Care Facility, Intellectual Disabilities
Gapasin Manor Icfddn #1 - NPI 1568676492
Gapasin Manor Icfddn #1 is a Intermediate Care Facility, Intellectual Disabilities in Stockton, California. Gapasin Manor Icfddn #1 practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Gapasin Manor Icfddn #1 is 1568676492. The last update date is 2008-04-04.
Gapasin Manor Icfddn #1's current location address is Po Box 691581, Stockton, California. You can contact this provider via phone number 2094789400 and fax number 2099540387. The mailing address for Gapasin Manor Icfddn #1 is Po Box 691581, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gapasin Manor Icfddn #1 |
|---|---|
| Address | Po Box 691581, Stockton, California |
| Phone Number | 2094789400 |
| Fax Number | 2099540387 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gapasin T Violeta |
| Telephone Number | 2094789400 |
NPI Number Detail
| NPI Number | 1568676492 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2008-04-04 |
Provider Mailing Address Detail
| Address | Po Box 691581 |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952691581 |
| Phone Number | 2094789400 |
| Fax Number | 2099540387 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | LTC80072F |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the unique 10-digit identifier code issued to Gapasin Manor Icfddn #1 by the Centers for Medicare & Medicaid Services?
The Gapasin Manor Icfddn #1 has been assigned the NPI (National Provider Identifier) 1568676492 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Gapasin Manor Icfddn #1?
The Gapasin Manor Icfddn #1 is situated at Po Box 691581, in the city of Stockton, state of CA, with the zip code 952691581.
What is Gapasin Manor Icfddn #1's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gapasin Manor Icfddn #1 is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy classification code for this specialized field is 315P00000X.
On what date was the 1568676492 assigned to Gapasin Manor Icfddn #1?
The Gapasin Manor Icfddn #1 was issued its 1568676492 on 2007-05-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Gapasin Manor Icfddn #1, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gapasin Manor Icfddn #1, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-04.