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INNOVATIVE DEVELOPMENT & LIVING SOLUTIONS OF CALIFORNIA NPI 1134620651


NPI Information

NPI: 1134620651
Provider Name: INNOVATIVE DEVELOPMENT & LIVING SOLUTIONS OF CALIFORNIA

Doing Business As: MAGNOLIA CROSSING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
32 WEST SIERRA AVE
CLOVIS, CA
ZIP 93612
Phone: (559) 825-1735
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INNOVATIVE DEVELOPMENT & LIVING SOLUTIONS OF CALIFORNIA is an assisted living facility in Clovis, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. INNOVATIVE DEVELOPMENT & LIVING SOLUTIONS OF CALIFORNIA NPI is 1134620651. The provider is registered as an organization entity type.
The provider Is Doing Business As Magnolia Crossing.

The provider's business location address is:

32 WEST SIERRA AVE
CLOVIS, CA
ZIP 93612
Phone: (559) 825-1735
Fax: (559) 797-4464

The provider's authorized official is Michael Sigala .
The authorized official title is Board President and has the following contact phone number (559) 266-6222.

The enumeration date for this NPI number is 2/21/2018 and was last updated on 2/21/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility107208838CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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