General Information Party ID Party Name Party Classification Mailing Address Work Phone Email/Website 639139 Deepack Stokes null 3200 Walford Avenue Eureka, CA 95503 707-499-0377 null Related Places Place ID Place Name County Region Place Type Relationship to Party Relationship Start Date Relationship End Date Related Parties Party ID Party Name Party Type Role/Relationship Relationship Start Date Relationship End Date Classification 639137 MDS Eureka Clinic LLC Organization Legally Responsible Official 04/25/2023 null Privately-Owned Business Regulatory Measures(non-enforcement) Reg. Measure ID Regulatory Measure Type Region WDID Title Status Program Order No. RM Effective Date RM Termination Date Relationship Relationship Start Date Relationship End Date Violations within the past calendar year Violation ID Occurrence Date Violation Type Violation Description Violation Status Priority Source Facility Name Violated Reg. Meas. ID Violated Reg. Meas. Order No. Linked To Enf. Enforcement Actions Enforcement ID Enforcement Type Enf. Order No. Title Program Effective Date Status Regulatory Measures linked to Related Parties Reg. Measure ID Organization Regulatory Measure Type Program Effective Date Status 454464 MDS Eureka Clinic LLC Enrollee - Waiver TH 02/23/2023 Active