# S & T LUXURY SOBER LIVING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952120347
- **Authorized official:** SHALONDA TILLMAN (PRESIDENT)
- **Authorized official phone:** (209) 454-1033

## Contact information

- **Practice address:** 3096 JOURNEY DR, STOCKTON, CA 95212-9350
- **Practice address phone:** (209) 454-1033
- **Mailing address:** 3096 JOURNEY DR, STOCKTON, CA 95212-9350
- **Mailing address phone:** (209) 454-1033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2024
- **Last updated:** 10/03/2024