NPI 1053563536
Shirley's Icf Dd N No 5
Practice location
- Address
- 9565 Colington Pl, Stockton, CA 95209-5013
- Phone
- (209) 952-6027
- Fax
- (209) 952-7829
- Mailing address
- 1182 Duvall CT, Stockton, CA 95210-3581
Authorised official
- Name
- Shirley E Gapasin
- Title
- Chief Financial Officer
- Phone
- (209) 607-9380
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1053563536
- Entity type
- Organization
- NPI issued
- 16 Oct 2008
- Record last updated
- 16 Oct 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.