Gabriel Care Home INC

NPI #1679749139 in Lodi, California

Provider Information

NPI Number
1679749139
Entity Type
Organization
Organization Name
Gabriel Care Home INC
Subpart
Yes (part of a larger organization)
Parent Organization
GABRIEL CARE HOME INC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
May 5, 2008
Last Updated
May 5, 2008

Practice Location

Address
4617 E BEARCREEK ROAD
City
Lodi
ZIP Code
95240
Phone
(209) 369-5973

Authorized Official

Name
MRS. ELENA PAISTE GABRIEL, RN
Title
RN ADMINISTRATOR
Phone
(209) 598-1436

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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