Gapasin Manor Icfddn #3 in Stockton - Intermediate Care Facility, Intellectual Disabilities

Gapasin Manor Icfddn #3 - NPI 1912111840

Gapasin Manor Icfddn #3 is a Intermediate Care Facility, Intellectual Disabilities in Stockton, California. Gapasin Manor Icfddn #3 practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Gapasin Manor Icfddn #3 is 1912111840. The last update date is 2008-04-04.

Gapasin Manor Icfddn #3's current location address is 3813 Steedman Way, Stockton, California. You can contact this provider via phone number 2099526135. The mailing address for Gapasin Manor Icfddn #3 is 3813 Steedman Way, Stockton, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gapasin Manor Icfddn #3
Address 3813 Steedman Way, Stockton, California
Phone Number 2099526135
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Gapasin T. Violeta
Telephone Number 2094789400

NPI Number Detail

NPI Number 1912111840
Provider Enumeration Date 2007-05-10
Last Updated Date 2008-04-04

Provider Mailing Address Detail

Address 3813 Steedman Way
City Stockton
State California (CA)
Post Code 952095020
Phone Number 2099526135
Fax Number

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No LTC80219F
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

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FAQs about Gapasin Manor Icfddn #3

What is the Gapasin Manor Icfddn #3's 1912111840?

The Gapasin Manor Icfddn #3's NPI (National Provider Identifier) Number is 1912111840. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Gapasin Manor Icfddn #3 is located?

The Gapasin Manor Icfddn #3 is situated at the following address: 3813 Steedman Way, Stockton, CA, 952095020.

What is the area of specialization for Gapasin Manor Icfddn #3, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Gapasin Manor Icfddn #3 is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.

On what date did the Gapasin Manor Icfddn #3 receive its 1912111840 assignment from the Centers for Medicare & Medicaid Services?

The Gapasin Manor Icfddn #3 was assigned its 1912111840 by the Centers for Medicare & Medicaid Services on 2007-05-10.

As of what date was the information pertaining to Gapasin Manor Icfddn #3, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Gapasin Manor Icfddn #3, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-04.

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