Country Palms Care Home
NPI #1083899660 in Stockton, California
Provider Information
- NPI Number
- 1083899660
- Entity Type
- Organization
- Organization Name
- Country Palms Care Home
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 2, 2008
- Last Updated
- Jun 13, 2008
Practice Location
- Address
- 2905 BRISTOL AVE
- City
- Stockton
- State
- California
- ZIP Code
- 95204-3935
- Phone
- (209) 462-1135
Authorized Official
- Name
- JOSEPH J TRIPLETT
- Title
- OWNER/LICENSEE
- Phone
- (209) 462-1135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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