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Elan Senior Living
Substance Abuse Rehabilitation Facility in Stockton, California
NPI 1225241433

Elan Senior Living is a Substance Abuse Rehabilitation Facility based in Stockton, CA. Elan Senior Living practices in Stockton, CA. The NPI Number for Elan Senior Living is 1225241433 and holds a License No. (California).

The current practice location address for Elan Senior Living is 4410 N Pershing Ave, Stockton, CA and can be reached out via phone at 209-477-0265 and via fax at 209-477-0292.

Location: 4410 N Pershing Ave, Stockton, CA, 95204-4404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225241433
Provider Name
Elan Senior Living
Credential
Provider Entity Type
Organization
Address
4410 N Pershing Ave, Stockton, CA, 95204-4404
Phone Number
209-477-0265
Fax Number
209-477-0292
Provider Enumeration Date
05/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004929 01 CA OTHER
institution
Provider Business Practice Location Address Details
Address
4410 N Pershing Ave
City
Stockton
State
California
Zip
95207-6900
Phone Number
209-477-0265
Fax Number
209-477-0292
person
Provider Business Mailing Address Details
Address
4410 N Pershing Ave
City
Stockton
State
California
Zip
95207-6900
Phone Number
209-477-0265
Fax Number
209-477-0292
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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