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Mr. Brandon Lee Rose, BSDEGREE
Assisted Living Facility in Stockton, California
NPI 1942606108

Brandon Lee Rose is an Assisted Living Facility based in Stockton, CA. Brandon Lee Rose practices in Stockton, CA and has the professional credentials of BSDEGREE. The NPI Number for Brandon Lee Rose is 1942606108 and holds a License No. 397002695 (California).

The current practice location address for Brandon Lee Rose is 9207 Mammath Peak Cir, Stockton, CA and can be reached out via phone at 209-623-7456 and via fax at 209-594-1872. You can also correspond with Brandon Lee Rose through the mailing address at 9207 MAMMATH PEAK CIR, STOCKTON, CA - 95212-3212 (mailing address contact number: 209-623-7456).

Location: 9207 Mammath Peak Cir, Stockton, CA, 95212-3212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942606108
Provider Name
Brandon Lee Rose
Credential
BSDEGREE
Provider Entity Type
Individual
Gender
Male
Address
9207 Mammath Peak Cir, Stockton, CA, 95212-3212
Phone Number
209-623-7456
Fax Number
209-594-1872
Provider Enumeration Date
11/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9207 Mammath Peak Cir
City
Stockton
State
California
Zip
95212-3212
Phone Number
209-623-7456
Fax Number
209-594-1872
person
Provider Business Mailing Address Details
Address
9207 Mammath Peak Cir
City
Stockton
State
California
Zip
95212-3212
Phone Number
209-623-7456
Fax Number
209-594-1872
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
397002695 (California)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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