Gapasin Manor Icfddn #2 in Stockton - Intermediate Care Facility, Intellectual Disabilities
Gapasin Manor Icfddn #2 - NPI 1194939025
Gapasin Manor Icfddn #2 is a Intermediate Care Facility, Intellectual Disabilities in Stockton, California. Gapasin Manor Icfddn #2 practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Gapasin Manor Icfddn #2 is 1194939025. The last update date is 2008-04-04.
Gapasin Manor Icfddn #2's current location address is Po Box 691581, Stockton, California. You can contact this provider via phone number 2099478940 and fax number 2099540387. The mailing address for Gapasin Manor Icfddn #2 is Po Box 691581, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gapasin Manor Icfddn #2 |
|---|---|
| Address | Po Box 691581, Stockton, California |
| Phone Number | 2099478940 |
| 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 | 1194939025 |
|---|---|
| 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 | 2099478940 |
| Fax Number | 2099540387 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | LTC80154F |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the Gapasin Manor Icfddn #2's 1194939025?
The Gapasin Manor Icfddn #2's NPI (National Provider Identifier) Number is 1194939025. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gapasin Manor Icfddn #2 is physically located?
The Gapasin Manor Icfddn #2 is physically situated at the following address: Po Box 691581, Stockton, CA, 952691581.
What is Gapasin Manor Icfddn #2's area of expertise and its corresponding taxonomy classification?
The Gapasin Manor Icfddn #2's field of specialization is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their areas of practice.
When did the Gapasin Manor Icfddn #2 receive its 1194939025?
The Gapasin Manor Icfddn #2 was issued its 1194939025 on 2007-05-10, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Gapasin Manor Icfddn #2 most recently updated or revised?
The information pertaining to Gapasin Manor Icfddn #2, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-04.