Organization
WINDSOR MODESTO HEALTHCARE, LLC
Active
Other names
Windsor Post-Acute Healthcare Center of Modesto
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE FEIGEN (MANAGING MEMBER)
(310) 385-1090
Entity
Organization
Contact information
Practice address
2030 EVERGREEN AVE, MODESTO, CA 95350-3785
(209) 577-1055
Mailing address
2030 EVERGREEN AVE, MODESTO, CA 95350-3785
(209) 577-1055
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55-5118
MEDICARE ID-TYPE UNSPECIFIED
CA
Enumeration date
06/26/2015
Last updated
03/02/2016
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