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Gabriel Care Home Inc
Intellectual Disabilities Intermediate Care Facility in Lodi, California
NPI 1679749139

Gabriel Care Home Inc is a Intellectual Disabilities Intermediate Care Facility based in Lodi, CA. Gabriel Care Home Inc practices in Lodi, CA. The NPI Number for Gabriel Care Home Inc is 1679749139 and holds a License No. LTC80353F (California).

The current practice location address for Gabriel Care Home Inc is 4617 E Bearcreek Road, Lodi, CA and can be reached out via phone at 209-369-5973 and via fax at 209-369-5698.

Location: 4617 E Bearcreek Road, Lodi, CA, 95240-6703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679749139
Provider Name
Gabriel Care Home Inc
Credential
Provider Entity Type
Organization
Address
4617 E Bearcreek Road, Lodi, CA, 95240-6703
Phone Number
209-369-5973
Fax Number
209-369-5698
Provider Enumeration Date
05/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4617 E Bearcreek Road
City
Lodi
State
California
Zip
95240
Phone Number
209-369-5973
Fax Number
209-369-5698
person
Provider Business Mailing Address Details
Address
4617 E Bearcreek Road
City
Lodi
State
California
Zip
95240
Phone Number
209-369-5973
Fax Number
209-369-5698
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
LTC80353F (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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