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Organization

SHIRLEY'S CARE HOME INC #2

Active
Organization subpart
Yes

Provider details

NPI number
Authorized official
SHIRLEY GAPASIN RN (CHIEF FINANCIAL OFFICER)
(209) 607-8825
Entity
Organization

Contact information

Practice address
8351 HAMILTON WAY, STOCKTON, CA 95209-2212
(209) 476-7582
(209) 952-7225
Mailing address
8351 HAMILTON WAY, STOCKTON, CA 95209-2212
(209) 476-7582
(209) 952-7225

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
CA

Other

Enumeration date
01/29/2008
Last updated
01/29/2008
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