Organization
PROVIDENCE HOME OF MODESTO INC.
Active
Organization
PROVIDENCE HOME OF MODESTO INC.
Active
Parent organization
PROVIDENCE HOME OF MODESTO INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HOME OF MODESTO INC
Authorized official
WARREN DELFIN (PRESIDENT)
(650) 201-6025
Entity
Organization
Contact information
Practice address
670 PARADISE AVE, MODESTA, CA 95351-3110
(209) 497-6691
Mailing address
851 BURLWAY RD., SUITE 216, BURLINGAME, CA 94010-1720
(650) 581-1359
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
08/21/2023
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