Organization
PEEBLES FAMILY CARE HOME
Active
Parent organization
PALS ASSISTED LIVING SERVICES INC
Other names
PALS Assisted Living Services Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALS ASSISTED LIVING SERVICES INC
Authorized official
MRS. NAWANA MIESA GRAY CEO (ADMINISTRATOR/CEO)
(209) 298-0849
Entity
Organization
Contact information
Practice address
404 NORTH BROADWAY AVE, STOCKTON, CA 95205-4737
(209) 298-0840
(209) 944-5659
Mailing address
404 NORTH BROADWAY AVE, STOCKTON, CA 95205-4737
(209) 298-0840
(209) 944-5659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
WHL156309
CA
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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