Organization
MODESTO ADULT DAY PROGRAM PARTNERS
Active
Other names
Modesto Adult Day Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL N MILNES (GENERAL PARTNER/ADMINISTRATOR)
(209) 622-0963
Entity
Organization
Contact information
Practice address
3217 TULLY RD, MODESTO, CA 95350-0832
(209) 622-0963
(209) 661-4903
Mailing address
3217 TULLY RD, MODESTO, CA 95350-0832
(209) 622-0963
(209) 661-4903
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
502700147
CA
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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