Organization
NEWPORT LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WILLIAMS (PARTNER)
(916) 945-1248
Entity
Organization
Contact information
Practice address
2030 EVERGREEN AVE, MODESTO, CA 95350-3785
(916) 899-1315
Mailing address
599 MENLO DR STE 200, ROCKLIN, CA 95765-3725
(916) 899-1315
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
02/01/2024
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