Organization
DOCTORS MEDICAL CENTER FOUNDATION
Active
Other names
Miller's Place ADHC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN L. CROWN (EXECUTIVE DIRECTOR)
(209) 527-3412
Entity
Organization
Contact information
Practice address
730 MCHENRY AVE, MODESTO, CA 95350-5413
(209) 521-0507
(209) 521-0694
Mailing address
730 MCHENRY AVE, MODESTO, CA 95350-5413
(209) 527-3412
(209) 527-1512
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70165F
—
CA
Enumeration date
05/11/2007
Last updated
08/22/2020
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