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Organization
GABRIEL CARE HOME INC
Active
Organization
GABRIEL CARE HOME INC
Active
Parent organization
GABRIEL CARE HOME INC
Other names
BEARCREEKICF
Organization subpart
Yes
Provider details
NPI number
Legal business name
GABRIEL CARE HOME INC
Authorized official
MRS. ELENA PAISTE GABRIEL RN (RN ADMINISTRATOR)
(209) 598-1436
Entity
Organization
Contact information
Practice address
4617 E BEARCREEK ROAD, LODI, CA 95240
(209) 369-5973
(209) 369-5698
Mailing address
2216 ALPINE DR, LODI, CA 95240-6703
(209) 333-0592
(209) 368-2771
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
LTC80353F
CA
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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