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Organization
BROOKSIDE CARE CENTER LLC
Active
Organization
BROOKSIDE CARE CENTER LLC
Active
Other names
Brookside Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
AARON CHESLEY NHA (CEO)
(760) 652-6354
Entity
Organization
Contact information
Practice address
1221 ROSEMARIE LN, STOCKTON, CA 95207-6703
(209) 477-2664
Mailing address
662 ENCINITAS BLVD STE 216, ENCINITAS, CA 92024-6790
(760) 652-6354
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
01/26/2024
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