SUNSHINE ICF DDN
Residential Treatment Facilities at Elm St, Lodi, CA

License number
California 55GP1907
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: ELENA P GABRIEL
Title: LICENSEE/ADMINISTRATOR
Phone: (209) 598-1436
Address
Address
1701 W Elm St, Lodi, CA 95242
National Provider ID: 1437473063
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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