Organization
MORNINGSTAR CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALVEN GOREAL (OWNER/LICENSEE/ADMINISTRATOR)
(251) 234-2740
Entity
Organization
Contact information
Practice address
3408 GATEWOOD DR, MODESTO, CA 95355-1550
(251) 234-2740
Mailing address
3408 GATEWOOD DR, MODESTO, CA 95355-1550
(251) 234-2740
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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