Organization
HUMPHREYS GUEST HOME CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ALLAN WHITE (ADMINISTRATOR)
(209) 251-7461
Entity
Organization
Contact information
Practice address
511 G ST, GALT, CA 95632-1949
(209) 251-7461
(209) 912-4036
Mailing address
511 G ST, GALT, CA 95632-1949
(209) 251-7461
(209) 912-4036
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/24/2021
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