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Medicl Facility ID: 16203622653312800254

Facility Business Name: DAVITA COFFEE ROAD DIALYSIS ( MODESTO, CA )

A list of all facilities registered with Medicare that includes addresses and phone numbers.

Field Name Field Value
Facility Id16203622653312800254
Facility NameDAVITA COFFEE ROAD DIALYSIS
Address Line1328 COFFEE ROAD
CityMODESTO
StateCA
Zip95355
CountyStanislaus
Phone209-491-3639
TypeDialysis Facility
Provider Id752551