| NPI | 1750388732 |
|---|---|
| Doing Business As | CASA DE MODESTO RETIREMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | KELLY WIEST Executive Director 209-529-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA 100000019) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: CA 500300107) |
| 310400000X Assisted Living Facility (Licence: CA 507000572) | |
| 310400000X Assisted Living Facility (Licence: CA 507000573) | |
| 310400000X Assisted Living Facility (Licence: CA 507000802) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2016-12-07 |