NPI 1356693451

Central Valley Specialty Hospital INC

Organisation Meals Provider Modesto, CA

Practice location

Address: 730 17th St, Modesto, CA 95354-1209
Phone: (209) 248-7710
Fax: (209) 846-0345
Mailing address: 1320 Standiford Ave Suite 4 Pmb 214, Modesto, CA 95350-0726

Authorised official

Name: Tammy Jean Thompson
Title: Vp Finance
Phone: (209) 248-7851

Registered specialties (2)

Meals Provider Primary

Other Service Providers Taxonomy 174200000X

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Skilled Nursing Facility

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence CA0301202 (CA)

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Registry record

NPI: 1356693451
Entity type: Organization
NPI issued: 12 Oct 2012
Record last updated: 25 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.