Organization
VALLEY SUBACUTE & REHABILITATION CENTER, LLC
Active
Other names
Central Valley Post Acute, Modesto
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY JEAN THOMPSON (VP FINANCE)
(209) 248-7851
Entity
Organization
Contact information
Practice address
515 E ORANGEBURG AVE, MODESTO, CA 95350-5510
(209) 529-0516
(209) 521-7069
Mailing address
700 17TH ST, SUITE 201C, MODESTO, CA 95354-1247
(209) 248-7851
(209) 248-7856
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
100000127
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05869H
—
CA
Enumeration date
09/06/2005
Last updated
01/28/2020
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