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STETSON COURT LIVING LLC NPI 1245605252


NPI Information

NPI: 1245605252
Provider Name: STETSON COURT LIVING, LLC

Doing Business As: STETSON COURT LIVING

Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
3913 STETSON CT
STOCKTON, CA
ZIP 95206
Phone: (209) 910-9138
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STETSON COURT LIVING, LLC is a respite care in Stockton, CA. STETSON COURT LIVING, LLC NPI is 1245605252. The provider is registered as an organization entity type.
The provider Is Doing Business As Stetson Court Living.

The provider's business location address is:

3913 STETSON CT
STOCKTON, CA
ZIP 95206-089
Phone: (209) 910-9138
Fax: (877) 683-4513

The provider's authorized official is Albert A Gaoiran .
The authorized official title is President and has the following contact phone number (408) 876-9445.

The enumeration date for this NPI number is 12/2/2015 and was last updated on 12/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1385H00000XRespite Care397005195CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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