Organization
MONTICELLO GUEST HOME, INC.
Active
Other names
Bianchi Manor Country
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REMEDIOS RESPICIO TABANGCURA RN (DIRECTOR)
(209) 298-0371
Entity
Organization
Contact information
Practice address
4951 E EIGHT MILE RD, STOCKTON, CA 95212-9449
(209) 334-1151
(209) 367-1315
Mailing address
PO BOX 690069, STOCKTON, CA 95269-0069
(209) 727-5749
(209) 727-5749
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
CA
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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