Elan Senior Living Dba The Living Center
Substance Abuse Rehabilitation Facility in Modesto, CA. Organization (NPI-2).
NPI number1083765366
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1083765366
- Entity type
- Organization (NPI-2)
- Legal business name
- Elan Senior Living Dba The Living Center
- Organization subpart
- No
- Enumeration date
- Jan 15, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | 500013EP | – | Yes |
Practice location
416 Corson AveModesto, CA 95350-5408
Phone 209-575-2013 · Fax 209-575-2017
Mailing address
416 Corson AveModesto, CA 95350-5408
Phone 209-575-2013 · Fax 209-575-2017
Authorized official
Jennifer Arlene Taylor
Program Director
2095752013
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All 16 Substance Abuse Rehabilitation Facility providers in Modesto · All 10,803 providers in Modesto
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