WELLBOUND OF MODESTO LLC is an end-stage renal disease (esrd) treatment clinic center in Modesto, CA. WELLBOUND OF MODESTO LLC NPI is 1932171972. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellbound Of Modesto.
The provider's business location address is:
1315 10TH ST
SUITE 100
MODESTO, CA
ZIP 95354-714
Phone: (209) 238-4080
Fax: (209) 238-4084
The provider's authorized official is Susan L Del Bene .
The authorized official title is Secretary/cfo and has the following contact phone number (650) 404-3618.
The CLIA number assigned to this NPI record is 05D1024134 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/3/2006 and was last updated on 12/29/2016.