Organization
STETSON COURT LIVING, LLC
Active
Other names
STETSON COURT LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT A GAOIRAN (PRESIDENT)
(408) 876-9445
Entity
Organization
Contact information
Practice address
3913 STETSON CT, STOCKTON, CA 95206-6089
(209) 910-9138
(877) 683-4513
Mailing address
3913 STETSON CT, STOCKTON, CA 95206-6089
(209) 910-9138
(877) 683-4513
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
397005195
CA
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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