Organization · Type 2 NPI
Legacy Alliance Outreach
Lodging Provider · Modesto, CA
NPI number
1750102612
Active
Practice location
820 H St
Modesto, CA 95354-3419
Mailing address
2601 Oakdale Rd Ste 154
Modesto, CA 95355-2256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | 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.
2 other providers at this address
Other lodging provider providers in Modesto
About NPI 1750102612
Legacy Alliance Outreach's National Provider Identifier is 1750102612, issued on Oct 22, 2024. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Modesto, CA. The record was last updated on Oct 22, 2024.