Organization
CF MODESTO, LLC
Active
Other names
Modesto Post Acute Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB WINTNER (MANAGER)
(323) 651-1808
Entity
Organization
Contact information
Practice address
159 EAST ORANGEBURG AVENUE, MODESTO, CA 95350
(209) 526-2811
(209) 526-6193
Mailing address
159 EAST ORANGEBURG AVENUE, MODESTO, CA 95350
(209) 526-2811
(209) 526-6193
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100000118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR05849F
—
CA
Enumeration date
01/18/2007
Last updated
02/09/2015
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