Peebles Family Care Home
Durable Medical Equipment & Medical Supplies in Stockton, CA. Organization (NPI-2).
NPI number1861726432
StatusActive
Last updated in NPPESSep 29, 2009
Details
- NPI
- 1861726432
- Entity type
- Organization (NPI-2)
- Legal business name
- Peebles Family Care Home
- Organization subpart
- Yes
- Enumeration date
- Sep 29, 2009
- Last updated
- Sep 29, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | WHL156309 | CA | Yes |
Other names
- Pals Assisted Living Services INC (Doing Business As)
Practice location
404 North Broadway AveStockton, CA 95205-4737
Phone 209-298-0840 · Fax 209-944-5659
Mailing address
404 North Broadway AveStockton, CA 95205-4737
Phone 209-298-0840 · Fax 209-944-5659
Authorized official
Nawana Miesa Gray
Administrator/Ceo
2092980849
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All 45 Durable Medical Equipment & Medical Supplies providers in Stockton · All 11,041 providers in Stockton
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