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Organization
MONTICELLO GUEST HOME, INC.
Active
Organization
MONTICELLO GUEST HOME, INC.
Active
Other names
Bianchi Manor Country
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REMEDIOS RESPICIO TABANGCURA RN (DIRECTOR)
(209) 298-0371
Entity
Organization
Contact information
Practice address
4951 E EIGHT MILE RD, STOCKTON, CA 95212-9449
(209) 334-1151
(209) 367-1315
Mailing address
PO BOX 690069, STOCKTON, CA 95269-0069
(209) 727-5749
(209) 727-5749
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
CA
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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