Organization · Type 2 NPI
Gabriel Care Home Inc
Intellectual Disabilities Intermediate Care Facility · Lodi, CA
NPI number
1679749139
Active
Practice location
4617 E Bearcreek Road
Lodi, CA 95240
Fax (209) 369-5698
Mailing address
2216 Alpine Dr
Lodi, CA 95240-6703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | LTC80353F (CA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Lodi
About NPI 1679749139
Gabriel Care Home Inc's National Provider Identifier is 1679749139, issued on May 5, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Lodi, CA. The record was last updated on May 5, 2008.