Organization
STOCKTON CONGREGATIONAL HOMES
Active
Other names
Plymouth Square
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAVERNE JOSEPH (CEO)
(562) 257-5101
Entity
Organization
Contact information
Practice address
1319 N MADISON ST, STOCKTON, CA 95202-1001
(209) 466-4341
(209) 466-8853
Mailing address
1319 N MADISON ST, STOCKTON, CA 95202-1001
(209) 466-4341
(209) 466-8853
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
390300536
CA
Other
Enumeration date
05/23/2014
Last updated
09/23/2014
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