NPI 1578749149

Peebles Family Care Home

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Stockton, CA

Practice location

Address: 404 North Broadway Ave, Stockton, CA 95205
Phone: (209) 464-3024
Fax: (209) 944-5659

Authorised official

Name: Nawana Miesa Gray
Title: Administrator Ceo
Phone: (209) 298-0849

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in California →

Registry record

NPI: 1578749149
Entity type: Organization
NPI issued: 14 Jan 2008
Record last updated: 14 Jan 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.