# VALLEY SUBACUTE & REHABILITATION CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Valley Post Acute, Modesto
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326032327
- **Authorized official:** TAMMY JEAN THOMPSON (VP FINANCE)
- **Authorized official phone:** (209) 248-7851

## Contact information

- **Practice address:** 515 E ORANGEBURG AVE, MODESTO, CA 95350-5510
- **Practice address phone:** (209) 529-0516
- **Practice address fax:** (209) 521-7069
- **Mailing address:** 700 17TH ST, SUITE 201C, MODESTO, CA 95354-1247
- **Mailing address phone:** (209) 248-7851
- **Mailing address fax:** (209) 248-7856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | — | — |
| 314000000X | Skilled Nursing Facility | 100000127 | CA | Yes |

## Other

- **Enumeration date:** 09/06/2005
- **Last updated:** 01/28/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZR05869H | — | CA |