ROOSEVELT LAKE HOLDINGS LLC

Skilled Nursing Facility

Active Organization
NPI: 1134003411

Practice Address

1900 COFFEE RD
Modesto, CA 95355

Phone: (209) 526-1775

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes -

Frequently Asked Questions

NPI 1134003411 is the National Provider Identifier for ROOSEVELT LAKE HOLDINGS LLC, a Skilled Nursing Facility provider located in Modesto, CA. This NPI was enumerated on August 1, 2025.