Organization
PEEBLES FAMILY CARE HOME
Active
Other names
PALS Assisted Living Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NAWANA MIESA GRAY (ADMINISTRATOR CEO)
(209) 298-0849
Entity
Organization
Contact information
Practice address
404 NORTH BROADWAY AVE, STOCKTON, CA 95205
(209) 464-3024
(209) 944-5659
Mailing address
404 NORTH BROADWAY AVE, STOCKTON, CA 95205
(209) 464-3024
(209) 944-5659
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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