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Organization
ST PAULS MODESTO LP
Active
Organization
ST PAULS MODESTO LP
Active
Other names
Pacifica Senior Living Modesto
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK ISRANI (OWNER)
(619) 296-9000
Entity
Organization
Contact information
Practice address
2325 ST PAULS WAY, MODESTO, CA 95355-3309
(209) 491-0800
Mailing address
2325 ST PAULS WAY, MODESTO, CA 95355-3309
(209) 491-0800
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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