NPI: 1922382290
Provider Name: PROVIDIAN RESIDENTIAL CARE SERVICES, INC.
Doing Business As: FILLMORE CHRISTIAN GARDEN
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization
Specialization: Assisted Living, Mental Illness
Address:
4826 E FILLMORE AVE
FRESNO, CA
ZIP 93727
Phone: (559) 284-6183
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PROVIDIAN RESIDENTIAL CARE SERVICES, INC. is an assisted living and mental illness assisted living facility in Fresno, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. PROVIDIAN RESIDENTIAL CARE SERVICES, INC. NPI is 1922382290. The provider is registered as an organization entity type.
The provider Is Doing Business As Fillmore Christian Garden.
The provider's business location address is:
4826 E FILLMORE AVE
FRESNO, CA
ZIP 93727-701
Phone: (559) 284-6183
Fax: (559) 452-1536
The provider's authorized official is Carmen Jamili Milly .
The authorized official title is Accountant/owner and has the following contact phone number (559) 284-6183.
The enumeration date for this NPI number is 10/5/2011 and was last updated on 2/7/2012.