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Elan Senior Living Dba The Living Center
Substance Abuse Rehabilitation Facility in Modesto, California
NPI 1083765366

Elan Senior Living Dba The Living Center is a Substance Abuse Rehabilitation Facility based in Modesto, CA. Elan Senior Living Dba The Living Center practices in Modesto, CA. The NPI Number for Elan Senior Living Dba The Living Center is 1083765366 and holds a License No. 500013EP (California).

The current practice location address for Elan Senior Living Dba The Living Center is 416 Corson Ave, Modesto, CA and can be reached out via phone at 209-575-2013 and via fax at 209-575-2017.

Location: 416 Corson Ave, Modesto, CA, 95350-5408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083765366
Provider Name
Elan Senior Living Dba The Living Center
Credential
Provider Entity Type
Organization
Address
416 Corson Ave, Modesto, CA, 95350-5408
Phone Number
209-575-2013
Fax Number
209-575-2017
Provider Enumeration Date
01/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004929 01 CA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
416 Corson Ave
City
Modesto
State
California
Zip
95350-5408
Phone Number
209-575-2013
Fax Number
209-575-2017
person
Provider Business Mailing Address Details
Address
416 Corson Ave
City
Modesto
State
California
Zip
95350-5408
Phone Number
209-575-2013
Fax Number
209-575-2017
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
500013EP ()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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