Peebles Family Care Home
NPI #1578749149 in Stockton, California
Provider Information
- NPI Number
- 1578749149
- Entity Type
- Organization
- Organization Name
- Peebles Family Care Home
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jan 14, 2008
- Last Updated
- Jan 14, 2008
Practice Location
- Address
- 404 NORTH BROADWAY AVE
- City
- Stockton
- State
- California
- ZIP Code
- 95205
- Phone
- (209) 464-3024
Authorized Official
- Name
- MS. NAWANA MIESA GRAY
- Title
- ADMINISTRATOR CEO
- Phone
- (209) 298-0849
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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