| Living Well Bcs Inc | |
|
510 Chabot Ave Modesto CA 95354-0233 | |
| (209) 968-9080 | |
| Not Available |
| Full Name | Living Well Bcs Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 510 Chabot Ave, Modesto, California |
| Authorized Official Name and Position | Kristi Lynn Miklusicak (DIRECTOR) |
| Authorized Official Contact | 2099689080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Bcs Inc 510 Chabot Ave Modesto CA 95354-0233 Ph: (209) 968-9080 | Living Well Bcs Inc 510 Chabot Ave Modesto CA 95354-0233 Ph: (209) 968-9080 |
| NPI Number | 1700126158 |
|---|---|
| Provider Enumeration Date | 02/21/2013 |
| Last Update Date | 02/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700126158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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