Organization · Type 2 NPI
Modesto Gospel Mission
Lodging Provider · Modesto, CA
NPI number
1720796907
Active
Practice location
1400 Yosemite Blvd
Modesto, CA 95354-2840
Mailing address
PO Box 1203
Modesto, CA 95353-1203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| Religious Nonmedical Health Care Institution | 282J00000X | None listed |
| Respite Care | 385H00000X | None listed |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Other lodging provider providers in Modesto
About NPI 1720796907
Modesto Gospel Mission's National Provider Identifier is 1720796907, issued on Nov 7, 2022. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Modesto, CA. The record was last updated on Jul 29, 2025.