Organization
GAPASIN MANOR ICFDDN #3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIOLETA T. GAPASIN (OWNER)
(209) 478-9400
Entity
Organization
Contact information
Practice address
3813 STEEDMAN WAY, STOCKTON, CA 95209-5020
(209) 952-6135
Mailing address
PO BOX 691581, STOCKTON, CA 95269-1581
(209) 478-9400
(209) 954-0387
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
LTC80219F
CA
Other
Enumeration date
05/10/2007
Last updated
04/04/2008
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