Organization
COUNTY OF STANISLAUS
Active
Other names
Stanislaus County Sheriff's Office
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MARQUEZ (LIEUTENANT)
(209) 525-5648
Entity
Organization
Contact information
Practice address
250 E HACKETT RD, MODESTO, CA 95358-9415
(209) 525-7216
Mailing address
250 E HACKETT RD, MODESTO, CA 95358-9415
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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