# STANISLAUS SUBACUTE REHAB LLC

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

## Provider details

- **NPI number:** 1902788706
- **Authorized official:** MARIA MUNOZ (ADMINISTRATOR)
- **Authorized official phone:** (209) 901-4212

## Contact information

- **Practice address:** 1421 OAKDALE RD, MODESTO, CA 95355-3356
- **Practice address phone:** (209) 901-4212
- **Practice address fax:** (209) 901-4218
- **Mailing address:** PO BOX 4730, MODESTO, CA 95352-4730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2025
- **Last updated:** 07/23/2025