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Organization

GHC OF MODESTO, LLC

Active
Other names
English Oaks Convalescent & Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
LOIS MASTROCOLA (CHIEF FINANCIAL OFFICER)
(714) 241-5600
Entity
Organization

Contact information

Practice address
2633 W RUMBLE RD, MODESTO, CA 95350-0154
(760) 481-5469
(209) 577-0366
Mailing address
2633 W RUMBLE RD, MODESTO, CA 95350-0154
(209) 577-1001
(209) 577-0366

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100000240
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LTC05190G
CA
Enumeration date
06/13/2005
Last updated
07/16/2025
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