Organization
SHIRLEY'S ICF DD N NO 5
Active
Parent organization
SHIRLEY'S CARE HOME INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHIRLEY'S CARE HOME INC
Authorized official
MRS. SHIRLEY E GAPASIN RN (CHIEF FINANCIAL OFFICER)
(209) 607-9380
Entity
Organization
Contact information
Practice address
9565 COLINGTON PL, STOCKTON, CA 95209-5013
(209) 952-6027
(209) 952-7829
Mailing address
1182 DUVALL CT, STOCKTON, CA 95210-3581
(209) 475-9829
(209) 475-9845
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
5500000686
CA
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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