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FELLOWSHIP HOME, INC

Assisted Living Facility

Modesto, California

Provider NPI: 1750388732

Organization Information:
Organization Name:  FELLOWSHIP HOME, INC


Practice Location:
1745 ELDENA WAY  MODESTO, CA 95350 US
Tel: 209-529-4950  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
CA507000802
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
CA507000573
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
CA507000572
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
CA500300107
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
CA100000019

Other Provider Identifiers:

IssuerNumberStateType
05A047CA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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