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Assisted Living Facility

Modesto, California

Provider NPI: 1750388732

Organization Information:
Organization Name:  FELLOWSHIP HOME, INC

Practice Location:
Tel: 209-529-4950  Fax: --

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


PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility

Other Provider Identifiers:

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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