Organization · Type 2 NPI

Fellowship Home, Inc

Skilled Nursing Facility · Modesto, CA

NPI number 1750388732 Active

Practice location

1745 Eldena Way
Modesto, CA 95350-3568

Fax (209) 529-0957

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	500300107 (CA)
Assisted Living Facility	310400000X	507000572 (CA)
Assisted Living Facility	310400000X	507000573 (CA)
Assisted Living Facility	310400000X	507000802 (CA)
Skilled Nursing Facility Primary	314000000X	100000019 (CA)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1750388732

Fellowship Home, Inc's National Provider Identifier is 1750388732, issued on Jul 5, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Modesto, CA. The record was last updated on Dec 7, 2016.