Organization
BROOKSIDE CARE CENTER LLC
Active
Other names
Brookside Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
AARON CHESLEY NHA (CEO)
(760) 652-6354
Entity
Organization
Contact information
Practice address
1221 ROSEMARIE LN, STOCKTON, CA 95207-6703
(209) 477-2664
Mailing address
662 ENCINITAS BLVD STE 216, ENCINITAS, CA 92024-6790
(760) 652-6354
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
01/26/2024
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