OrganizationActive
Modesto Gospel Mission
NPI 1720796907 · Lodging Provider · Modesto, CA
Provider details
- NPI number
- 1720796907
- Entity type
- Organization
- Primary specialty
- Lodging ProviderOther Service Providers
- Organization subpart
- No
- Authorized official
- Jason Conway, Ceo(209) 225-2905
Specialties & taxonomies
Other Service Providers
- Case Management Agency251B00000X
Agencies
Agencies
Ambulatory Health Care Facilities
Hospitals
- Respite Care385H00000X
Respite Care Facility
Practice location
1400 Yosemite Blvd
Modesto, CA 95354-2840
Phone: (209) 529-8259
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1203
Modesto, CA 95353-1203
Registry dates
- Enumerated
- 2022-11-07
- Last updated
- 2025-07-29
- Certified
- 2025-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.