SHEPHERD FAMILY HOME NPI 1770679417

NPI Information

SHEPHERD FAMILY HOME is an intermediate care facility mental illness in Fresno, CA. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. SHEPHERD FAMILY HOME NPI is 1770679417. The provider is registered as an organization entity type.

The provider's business location address is:

8893 N SIERRA VISTA AVE
FRESNO, CA
ZIP 93720-948
Phone: (559) 298-7998
Fax: (559) 298-1551

The provider's authorized official is Lee W Shepherd .
The authorized official title is Owner and has the following contact phone number (559) 298-7998.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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