Provider Demographics
NPI:1952728412
Name:GAPUZ INCORPORATED
Entity Type:Organization
Organization Name:GAPUZ INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MINERVINA
Authorized Official - Middle Name:ALVAREZ
Authorized Official - Last Name:GAPUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-610-3867
Mailing Address - Street 1:640 WHIPPORWILL ST
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95210-4445
Mailing Address - Country:US
Mailing Address - Phone:209-310-1867
Mailing Address - Fax:
Practice Address - Street 1:640 WHIPPORWILL ST
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95210-4445
Practice Address - Country:US
Practice Address - Phone:209-310-1867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-23
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities