Healthcare Provider Details

I. General information

NPI: 1023225372
Provider Name (Legal Business Name): TRU-HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 02/22/2025
Certification Date: 02/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2324 LEVER BLVD
STOCKTON CA
95206-2900
US

IV. Provider business mailing address

2324 LEVER BLVD
STOCKTON CA
95206-2900
US

V. Phone/Fax

Practice location:
  • Phone: 209-464-4743
  • Fax: 209-464-4755
Mailing address:
  • Phone: 209-464-4743
  • Fax: 209-464-4755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number390312403
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number390312403
License Number StateCA

VIII. Authorized Official

Name: DR. ROWENA LOPEZ RAMIREZ
Title or Position: PRESIDENT/CEO
Credential: M.D.
Phone: 209-464-4743