Fellowship Home, Inc
Fellowship Home, Inc is an Assisted Living Facility in Modesto, California. Licensed in California. Registered with an NPI since 2005.
- Licensed in
- CA
- In the registry since
- 2005
- Specialties on file
- 5
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1745 Eldena WayModesto, CA 95350-3568
Phone: (209) 529-4950
Fax: (209) 529-0957
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 100000019 (CA) |
|---|---|
| Assisted Living Facility | Taxonomy 310400000X · Licence 500300107 (CA) |
| Assisted Living Facility | Taxonomy 310400000X · Licence 507000572 (CA) |
| Assisted Living Facility | Taxonomy 310400000X · Licence 507000573 (CA) |
| Assisted Living Facility | Taxonomy 310400000X · Licence 507000802 (CA) |
Record details
| NPI number | 1750388732 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelly Wiest — Executive Director · (209) 529-4950 |
| Other names | Casa De Modesto Retirement Center |
| NPI enumerated | July 5, 2005 |
| Last updated in NPPES | December 7, 2016 |
| Mailing address | 1745 Eldena Way, Modesto, CA 95350-3568 |
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