institution
Wellbound Of Modesto Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Modesto, California
NPI 1841634144

Wellbound Of Modesto Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in San Jose, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Wellbound Of Modesto Llc practices in Modesto, CA. The NPI Number for Wellbound Of Modesto Llc is 1841634144 and holds a License No. (California).

The current practice location address for Wellbound Of Modesto Llc is 4207 Bangs Ave, Modesto, CA and can be reached out via phone at 209-338-2540 and via fax at 209-543-3897. You can also correspond with Wellbound Of Modesto Llc through the mailing address at 300 SANTANA ROW, SAN JOSE, CA - 95128-2423 (mailing address contact number: 209-338-2540).

Location: 4207 Bangs Ave, Modesto, CA, 95128-2423
institution
Provider Profile Details
NPI Number
1841634144
Provider Name
Wellbound Of Modesto Llc
Credential
Provider Entity Type
Organization
Address
4207 Bangs Ave, Modesto, CA, 95128-2423
Phone Number
209-338-2540
Fax Number
209-543-3897
Provider Enumeration Date
04/18/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1841634144 05 CA
institution
Provider Business Practice Location Address Details
Address
4207 Bangs Ave
City
State
Zip
95356-8714
Phone Number
209-338-2540
Fax Number
209-543-3897
person
Provider Business Mailing Address Details
Address
300 Santana Row
City
State
Zip
95128-2423
Phone Number
209-338-2540
Fax Number
650-625-6007
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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