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SHEPHERD FAMILY HOME

Intermediate Care Facility, Mental Illness

Fresno, California

Provider NPI: 1770679417

Organization Information:
Organization Name:  SHEPHERD FAMILY HOME


Practice Location:
8893 N SIERRA VISTA AVE  FRESNO, CA 93720 US
Tel: 559-298-7998  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
CA

Other Provider Identifiers:

IssuerNumberStateType
MEDICAL PROVIDER NUMBERLTC80272GCA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




INTERMEDIATE CARE JOBS CA - Page 1