Provider Demographics
NPI:1629734785
Name:HOUSING AUTHORITY OF THE COUNTY OF SAN JOAQUIN
Entity Type:Organization
Organization Name:HOUSING AUTHORITY OF THE COUNTY OF SAN JOAQUIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:W
Authorized Official - Last Name:RAGSDALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-460-5065
Mailing Address - Street 1:2575 GRAND CANAL BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-8260
Mailing Address - Country:US
Mailing Address - Phone:209-460-5003
Mailing Address - Fax:209-460-5103
Practice Address - Street 1:2575 GRAND CANAL BLVD STE 100
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-8260
Practice Address - Country:US
Practice Address - Phone:209-460-5003
Practice Address - Fax:209-460-5103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage