Organization
DAVIS GUEST HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONNY G. DAVIS (OWNER)
(209) 402-7900
Entity
Organization
Contact information
Practice address
1878 E HATCH RD, MODESTO, CA 95351-5002
(209) 538-1496
(209) 538-6584
Mailing address
1878 E HATCH RD, MODESTO, CA 95351-5002
(209) 538-1496
(209) 538-6584
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
12/22/2006
Last updated
08/22/2020
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