Organization
ELAN SENIOR LIVING, INC.
Active
Other names
THE LIVING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE DEANNE BLANCHARD (OFFICE MANAGER)
(209) 491-0686
Entity
Organization
Contact information
Practice address
412 CORSON AVE, MODESTO, CA 95350-5408
(209) 491-0686
(209) 575-2017
Mailing address
416 CORSON AVE, MODESTO, CA 95350
(209) 491-0686
(209) 575-2017
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
507004153
CA
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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