| NPI | 1669903852 |
|---|---|
| Doing Business As | MODESTO ADULT DAY PROGRAM |
| Entity Type | Organization |
| Authorized Contact | RUSSELL N MILNES General Partner/Administrator 209-622-0963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: CA 502700147) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |