Organization
NOV MODESTO LLC
Active
Parent organization
SLW MODESTO LLC
Other names
Orangeburg Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
SLW MODESTO LLC
Authorized official
CHRISTOPHER COULTER (PRINCIPAL)
(916) 953-0476
Entity
Organization
Contact information
Practice address
1248 NELSON AVE, MODESTO, CA 95350-5360
(209) 527-2222
Mailing address
7501 SUNRISE BLVD, CITRUS HEIGHTS, CA 95610-3059
(916) 486-9639
(916) 750-5701
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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