GABRIEL ICF is an intermediate care facility mentally retarded in Lodi, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. GABRIEL ICF NPI is 1104976794. The provider is registered as an organization entity type.
The provider's business location address is:
2155 W ELM STREET
LODI, CA
ZIP 95242-703
Phone: (209) 333-0592
Fax: (209) 368-2771
The provider's authorized official is Elena Paiste Gabriel .
The authorized official title is Administrator Rn and has the following contact phone number (209) 598-1436.
The CLIA number assigned to this NPI record is 05D2233235 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/12/2007 and was last updated on 5/7/2008.