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Organization
MY PERSONAL CARE
Active
Organization
MY PERSONAL CARE
Active
Other names
My Personal Care Services, THCC Personal Care, My Personal Care Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORENCIO S BUNGALON (PRESIDENT)
(916) 203-9845
Entity
Organization
Contact information
Practice address
930 COACH ST, STOCKTON, CA 95209-1438
(209) 477-4048
Mailing address
6333 PACIFIC AVE UNIT 555, STOCKTON, CA 95207-3713
(916) 203-9845
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
06/07/2024
Last updated
02/20/2025
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