Organization
STANISLAUS COUNTY - HEALTH SERVICES AGENCY
Active
Parent organization
STANISLAUS COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
STANISLAUS COUNTY
Authorized official
MRS. LIZBETH HERNANDEZ (LGA MAA/TCM COORDINATOR)
(209) 558-4087
Entity
Organization
Contact information
Practice address
820 SCENIC DR, 830 SCENIC DRIVE, MODESTO, CA 95350-6131
(209) 558-7070
Mailing address
820 SCENIC DR, 830 SCENIC DRIVE, MODESTO, CA 95350-6131
(209) 558-7070
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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