MEDICARE: TURLOCK ADULT DAY HEALTH CARE CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1811451784
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TURLOCK ADULT DAY HEALTH CARE CENTER, INC.

Provider Business Mailing Address
First Line	:	2618 N GOLDEN STATE BLVD
Second Line	:
City	:	TURLOCK
State	:	CA
Zip	:	95382-9504
Country	:	US
Telephone Number	:	818-804-9572
Fax Number	:

Provider Business Practice Location Address
First Line	:	2618 N GOLDEN STATE BLVD
Second Line	:
City	:	TURLOCK
State	:	CA
Zip	:	95382-9504
Country	:	US
Telephone Number	:	818-804-9572
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GIVARGIS ESHAGO
Credential	:
Telephone Number	:	818-804-9572

Provider Enumeration Date	:	01/24/2019
Last Update Date	:	01/24/2019

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