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General NPI Number Information
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NPI Number | 1780471938
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Entity Type | Organization
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Legal Business Name | COUNTY OF STANISLAUS
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 4701 STODDARD RD
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City | MODESTO
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State | CA
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Zip | 95356-9818
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Country | US
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Telephone | 209-558-4802
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3271
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City | MODESTO
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State | CA
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Zip | 95353-3271
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | VIJAY CHAND
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Credential |
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Telephone | 209-558-7199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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