Fresno Congregate Living Inc
Organization Active NPI Physical Disabilities Residential Treatment Facility · Fresno, CA
NPI 1174014153 · NPPES record last updated May 24, 2018
Key facts
- NPI
- 1174014153
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Disabilities Residential Treatment Facility 320700000X
- Legal business name
- FRESNO CONGREGATE LIVING INC
- Practice address
- 3110 E Sierra Ave
Fresno, CA 93710-5917 - Phone
- (559) 270-1073
- NPI assigned
- May 24, 2018
- Organization subpart
- No
Authorized official
- Name
- Svetlana Krboyan
- Title
- President/Ceo
- Phone
- (559) 270-1073
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | Yes |
Addresses
Primary practice location
3110 E Sierra Ave
Fresno, CA 93710-5917
Mailing address
3110 E Sierra Ave
Fresno, CA 93710-5917
Other names
- Fresno Congregate Living Inc
Other providers in Fresno, CA
- Fresno Community Hospital and Medical Center
- Fresno Community Hospital and Medical Center
- Fresno Community Hospital and Medical Center
- Fresno Community Hospital and Medical Center
- Fresno Community Hospital and Medical Center
- Fresno County
- Fresno County
- Fresno County
- Fresno County
- Fresno County
All providers in Fresno, CA · Physical Disabilities Residential Treatment Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.