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Organization
PEEBLES FAMILY CARE HOME
Active
Organization
PEEBLES FAMILY CARE HOME
Active
Other names
PALS Assisted Living Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NAWANA MIESA GRAY (ADMINISTRATOR CEO)
(209) 298-0849
Entity
Organization
Contact information
Practice address
404 NORTH BROADWAY AVE, STOCKTON, CA 95205
(209) 464-3024
(209) 944-5659
Mailing address
404 NORTH BROADWAY AVE, STOCKTON, CA 95205
(209) 464-3024
(209) 944-5659
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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