Organization
COUNTRY PALMS CARE HOME
Active
Other names
Joseph J Triplett
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J TRIPLETT (OWNER/LICENSEE)
(209) 462-1135
Entity
Organization
Contact information
Practice address
2905 BRISTOL AVE, STOCKTON, CA 95204-3935
(209) 462-1135
(209) 462-0335
Mailing address
2905 BRISTOL AVE, STOCKTON, CA 95204-3935
(209) 462-1135
(209) 462-0335
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
397002983
CA
Other
Enumeration date
01/02/2008
Last updated
06/13/2008
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