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Contact Information

COMMUNITY LIVING CENTER - FRESNO
3003 N MARIPOSA
FRESNO, CA93703
 Phone: 559-459-1711
 Fax: 559-459-1799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for COMMUNITY LIVING CENTER - FRESNO

NPI Number 1831100932
LBN Legal business name COMMUNITY LIVING CENTER - FRESNO
Authorized official LISA MCQUONE - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA Medicaid ZZR05043F
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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