Organization
KINGSWAY INTERNATIONAL LLC
Active
Other names
BETHEL PLACE ASSISTED LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
PRINCEWILL C NWAOGU (OWNER /ADMINISTRATOR)
(925) 202-8447
Entity
Organization
Contact information
Practice address
9732 NORTHSTAR CT, STOCKTON, CA 95209-5183
(209) 932-9481
Mailing address
9732 NORTHSTAR CT, STOCKTON, CA 95209-5183
(209) 932-9481
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
01/12/2026
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