Organization
CARPENTER GUEST HOMES INC
Active
Parent organization
CARPENTER GUEST HOMES INC
Other names
DBA Estrelca's ICF/DD-H
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARPENTER GUEST HOMES INC
Authorized official
MRS. ESTRELLA L. JOSE (LICENSEE/ADMIN)
(209) 462-4239
Entity
Organization
Contact information
Practice address
3446 POCK LN, STOCKTON, CA 95205-8022
(209) 932-0368
(209) 932-0668
Mailing address
2482 CARPENTER RD, STOCKTON, CA 95205
(209) 932-0368
(209) 932-0668
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
100000685
CA
261QD1600X
Developmental Disabilities Clinic/Center
Primary
100000685
CA
Other
Enumeration date
04/19/2007
Last updated
07/14/2008
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