Nineveh Outreach
Nineveh Outreach is a Clinic/Center in Modesto, California. Licensed in California. Registered with an NPI since 2012.
- Licensed in
- CA
- In the registry since
- 2012
Practice location Address checks out
1601 Coffee RdModesto, CA 95355-2801
Phone: (209) 529-7346
Fax: (209) 529-7034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 550001116 (CA) |
|---|
Record details
| NPI number | 1366799801 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Calvary Temple Worship Center |
| Authorized official | Manuel Canga — Medical Director · (209) 529-7346 |
| Other names | Hope Medivan |
| NPI enumerated | August 14, 2012 |
| Last updated in NPPES | August 14, 2012 |
| Mailing address | Po Box 578901, Modesto, CA 95357-8901 |
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