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Gapasin Manor Icfddn #2
Intellectual Disabilities Intermediate Care Facility in Stockton, California
NPI 1194939025

Gapasin Manor Icfddn #2 is a Intellectual Disabilities Intermediate Care Facility based in Stockton, CA. Gapasin Manor Icfddn #2 practices in Stockton, CA. The NPI Number for Gapasin Manor Icfddn #2 is 1194939025 and holds a License No. LTC80154F (California).

The current practice location address for Gapasin Manor Icfddn #2 is 2325 Stanfield Dr, Stockton, CA and can be reached out via phone at 209-474-2167.

Location: 2325 Stanfield Dr, Stockton, CA, 95269-1581
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194939025
Provider Name
Gapasin Manor Icfddn #2
Credential
Provider Entity Type
Organization
Address
2325 Stanfield Dr, Stockton, CA, 95269-1581
Phone Number
209-474-2167
Fax Number
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2325 Stanfield Dr
City
Stockton
State
California
Zip
95209-4017
Phone Number
209-474-2167
Fax Number
person
Provider Business Mailing Address Details
Address
2325 Stanfield Dr
City
Stockton
State
California
Zip
95209-4017
Phone Number
209-474-2167
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
LTC80154F (California)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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