GABRIEL CARE HOME INC NPI 1679749139

NPI Information

GABRIEL CARE HOME INC 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 CARE HOME INC NPI is 1679749139. The provider is registered as an organization entity type.
The provider Is Doing Business As Bearcreekicf.

The provider's business location address is:

4617 E BEARCREEK ROAD
LODI, CA
ZIP 95240
Phone: (209) 369-5973
Fax: (209) 369-5698

The provider's authorized official is Elena Paiste Gabriel .
The authorized official title is Rn Administrator and has the following contact phone number (209) 598-1436.

The enumeration date for this NPI number is 5/5/2008 and was last updated on 5/5/2008.

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:

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