NPI 1679749139

Gabriel Care Home INC

Organisation Intellectual Disabilities Intermediate Care Facility Lodi, CA

Practice location

Address: 4617 E Bearcreek Road, Lodi, CA 95240
Phone: (209) 369-5973
Fax: (209) 369-5698
Mailing address: 2216 Alpine Dr, Lodi, CA 95240-6703

Authorised official

Name: Elena Paiste Gabriel
Title: RN Administrator
Phone: (209) 598-1436

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence LTC80353F (CA)

Other Intermediate Care Facility, Intellectual Disabilities providers in California →

Registry record

NPI: 1679749139
Entity type: Organization
NPI issued: 5 May 2008
Record last updated: 5 May 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.