# HUMPHREYS GUEST HOME CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750956983
- **Authorized official:** ERIC ALLAN WHITE (ADMINISTRATOR)
- **Authorized official phone:** (209) 251-7461

## Contact information

- **Practice address:** 511 G ST, GALT, CA 95632-1949
- **Practice address phone:** (209) 251-7461
- **Practice address fax:** (209) 912-4036
- **Mailing address:** 511 G ST, GALT, CA 95632-1949
- **Mailing address phone:** (209) 251-7461
- **Mailing address fax:** (209) 912-4036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/20/2021
- **Last updated:** 05/24/2021