FRESNO CONGREGATE LIVING INC NPI 1174014153

NPI Information

FRESNO CONGREGATE LIVING INC is a residential treatment facility physical disabilities in Fresno, CA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. FRESNO CONGREGATE LIVING INC NPI is 1174014153. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresno Congregate Living Inc.

The provider's business location address is:

3110 E SIERRA AVE
FRESNO, CA
ZIP 93710-917
Phone: (559) 270-1073

The provider's authorized official is Svetlana Krboyan .
The authorized official title is President/ceo and has the following contact phone number (559) 270-1073.

The enumeration date for this NPI number is 5/24/2018 and was last updated on 5/24/2018.

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:

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