Organization
SIERRA SALEM CHRISTIAN HOMES, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERALD P PASMA (EXECUTIVE DIRECTOR)
(209) 404-4749
Entity
Organization
Contact information
Practice address
2414 KIRKWOOD AVE, MODESTO, CA 95350-2282
(209) 408-8289
(209) 343-3952
Mailing address
2414 KIRKWOOD AVE, MODESTO, CA 95350-2282
(209) 408-8289
(209) 343-3952
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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